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ABIGAIL HOUSE FOR NURSING & REHABILITATION LLC
Quality Improvement
Name:
Professor:
Institution:
Course:
Date:
ABIGAIL HOUSE FOR NURSING & REHABILITATION LLC
1105 -1115 LINDEN STREET
CAMDEN, NJ 08101
(856) 365-8500
The overall rating of the nursing home is much above average. The quality measures are also above average.
Percent of long-stay residents experiencing one or more falls with major injury.Lower percentages are better.
Abigail New Jersay National Ave
1.60% 2.50% 3.20%
Percent of long-stay residents with a urinary tract infection.Lower percentages are better.
.
Abigail New Jersay National Ave
3.40% 5.70% 6.60%
Percent of long-stay residents who self-report moderate to severe pain.Lower percentages are better
Abigail New Jersay National Ave
1.50% 4.70% 8.70%
ABINGDON CARE & REHABILITATION CENTER
303 ROCK AVE
GREEN BROOK, NJ 08812
(732) 968-5500
Percent of long-stay residents experiencing one or more falls with major injury.Lower percentages are better.
Abingdon New Jersay National Ave
2.60% 2.50% 3.20%
Percent of long-stay residents with a urinary tract infection.Lower percentages are better.
Abingdon New Jersay National Ave
3.60% 5.70% 6.60%
Percent of long-stay residents who self-report moderate to severe pain.Lower percentages are better
Abingdon New Jersay National Ave
7.80% 4.70% 8.70%
ABSECON MANOR NURS/REHAB CNTR
1020 PITNEY ROAD
ABSECON, NJ 08201
(609) 646-5400
Percent of long-stay residents experiencing one or more falls with major injury.Lower percentages are better.
Absecon New Jersay National Ave
2.40% 2.50% 3.20%
Percent of long-stay residents with a urinary tract infection.Lower percentages are better.
Absecon New Jersay National Ave
14.20% 5.70% 6.60%
Percent of long-stay residents who self-report moderate to severe pain.Lower percentages are better
Absecon New Jersay National Ave
4.50% 4.70% 8.70%
ADVANCED CARE CENTER AT LAKEVIEW
130 TERHUNE DRIVE
WAYNE, NJ 0747
Percent of long-stay residents experiencing one or more falls with major injury.Lower percentages are better.
Adv. Care New Jersay National Ave
1.30% 2.50% 3.20%
Percent of long-stay residents with a urinary tract infection.Lower percentages are better.
Adv. Care New Jersay National Ave
1.30% 5.70% 6.60%
Percent of long-stay residents who self-report moderate to severe pain.Lower percentages are better
Adv. Care New Jersay National Ave
0% 4.70% 8.70%
ACTORS FUND HOME, THE
175 WEST HUDSON AVE
ENGLEWOOD, NJ 07631
(201) 871-8882
Percent of long-stay residents experiencing one or more falls with major injury.Lower percentages are better.
Actors New Jersay National Ave
1.30% 2.50% 3.20%
Percent of long-stay residents who self-report moderate to severe pain.Lower percentages are better
Actors New Jersay National Ave
1.30% 5.70% 6.60%
Percent of long-stay residents with a urinary tract infection.Lower percentages are better.
Actors New Jersay National Ave
0% 4.70% 8.70%
Select one (1) measure regarding staffing, prepare a similar graphs
Abigail
Abingdon
Absecon
Adv. Care
Actors
Rank your selected facilities in order of the best quality to worst quality. Take into consideration those items reviewed above, in addition to the other 16 quality measures that are reported. Which selected Nursing Home would you send your relative to?
The Actors Home Fund ranks as the best in quality facilities given that it registers no percentages in some of the service deficiencies. This therefore means that the home observes informed consent refers to the legal rules which guide the relationship between physicians and patients as the former provides a service to the latter. The rules outline the course of action when a physician acts in a manner that is inconsistent with expected behavior. Informed consent principles exist to safeguard the patient’s fundamental right; freely and independently make a choice on the medical treatment they want. The physicians, on the other hand, have an obligation of fully informing the patient of all possible treatment options and the consequences of taking each of them.
Health care facilities that have physicians and medical practitioners who are competent and provide qualified services and advise to the customers are likely to attract more clients. Patients ought to be treated with dignity so as to ensure that they attain the highest level of medical attention and that they are well served to meet their varying needs. The fact that access to health care is a basic or fundamental human right; this has an implication that facilities will only be ranked as effective if they serve patients inclusively irrespective of their social and economic backgrounds.
Self determination is a term used to re-affirm the right to informed consent. It seeks to mainly to protect patient who at times are not aware of their rights and are often victims of choices made by others. Self-determination seeks to ensure that patients receive adequate information that will aid in sound judgment of the treatment choices available. Patients in hospitals ought to be encouraged to be self-determined as many psychologists have conducted studies and stated that the medical conditions that people suffer from take diverse periods to be completely healed depending on the mindset of the patient and the environment within which they receive the medication. This assertion has an implication that doctors, nurses and other healthcare practitioners ought to be on the forefront of promoting self-determination among patients by ensuring that they are informed on their progress to recover and encouraged to have a positive attitude in life so as to heal quickly; this will not only shorten their stay at the hospital but also reduce the medical expenses.
The right to informed consent and self determination can be waived depending on several circumstances. Emergency will automatically necessitate that the above rights to be disregarded. Emergency treatment could emanate from different circumstances. Stabilizing a patient in the intensive care unit is an emergency which do not require the patient’s consent. Physicians ought to observe professional ethics so as not to abuse this privilege. The right to informed consent will also not be upheld if a patient who is suffering from a life threatening condition rejects treatment. Patients who are suffering from terminal or severe chronic illness may also be denied the above rights. Such patients are exposed to painful and traumatizing treatments, which any human, would fear. The waiver exception also denies patients the right to informed consent and self determination. It arises where the patient freely consents the physician to act on what he/she deems to be the best course of action during treatment. This exception is perhaps the least controversial. Doctors have to defend their professional judgment and not their failure to involve the patient in their decisions.
The final exception to the discussed patient’s rights is the therapeutic privilege. It refers to instances whereby total disclosure of information by the physician might critically impair the decision making process of the patient. A patient who suffers from heart-attack may also be diagnosed with a terminal illness; the physician may withhold information from the patient since disclosure could lead to a heart attack which might even kill the patient. The exception, however, attracts controversy as doctors purely rely on their expertise to make the decision. Patients at times do not comprehend the amount of damage that revelation of their medical condition can cause. Physicians and medical practitioners have to observe ethics as they exercise the three privileges since aggrieved patients can sue.
Resuscitation refers to the emergency treatment that is administered to patients suffering from cardiac arrest. Physicians treating such a patient may issue instructions against the emergency treatment referred to as the DNR orders. Such decisions are at times based on the patient’s wishes; they can be communicated by a will or a relative of the patient mandated to make such a decision. DNR orders, when executed, end the patient’s life; hence, physicians must present satisfactory evidence that support their action. I would therefore send my relative to Actors Home Fund.
The worst home is Absecon. The place is characterized by high percentages of accidents which occur at the place. A place that has a negative reputation such as Absecon is likely to lose customers/clients since there is a likelihood of patients not receiving adequate and effective medical attention leading to higher mortality rates, longer stays in hospitals, and thus increased medical expenses on the part of the patients and their families. Based on the information presented in this paper, there are various issues that have emerged, among them quality of health care facilities and how medical practitioners play an integral role in ensuring the recovery of the patients. Governenments or health care regulatory agencies ought to set guidelines on how various treatment procedures ought to be undertaken as well as inform the public of their rights regarding health care provision and ensure that their needs are met.
References
Medicare.gov, Nursing Home Compare. 2013. Web. December 22 2013. http://www.medicare.gov/nursinghomecompare/profile.html#profTab=0&ID=315267&state=NJ&lat=0&lng=0
The third-period break bell chimes and all the students bang their locker doors and rush out to the school fields.
Break in the Staffroom
Name
Institution
Date
The third-period break bell chimes and all the students bang their locker doors and rush out to the school fields. They seemed unbothered with the weak state of their twenty-year-old lockers and the likelihood of it falling apart just by a bang. Girls in their red shirts beneath their purple tunics grouped themselves around the school swings. On the other end, boys run towards the football field with their purple knee-length shorts and red t-shirts. Students on the unmowed playing field look so colourful from the headmistress office window. This is how Headmistress Winger monitored her students in the field. One could see how unimpressed she looked. According to her, the break was unnecessary since only one period would follow, then students break for lunch. Winger stood right beside the window, with a cup of hot chamomile tea in her hands freshly prepared by the school caterer. She peeped through the broken glass on one of her window panels, ad stared at the students as they played.
On the playing ground, girls ran around chasing each other, blindfolded with their navy-blue sweaters in an attempt to make as many contacts as possible. Some group of much older fifth-graders stood at the spectator side of the pitch, termed the 'cool corner.' They enjoyed watching the boys admire them. The school termed them the pretty girls, and they were untouchable. Not even the school could touch a strand of their hair. Word spread around the faded blue walls of the school that their parents made up the school committee and were donors to major school projects. Boys admired them and fantasized about them. All the girls in school wanted to be like them.
Meanwhile, Paco swung the brown, old wooden staffroom door and fled in with a one-metre ruler, a whiteboard pen, and a math textbook. He dropped them at his untidy disorganized table and sank into his seat. Me. MrPaco put on his old black-framed glasses and started browsing through his outdated dial phone. Hardly had he settled down when Mrs., Floddle walked in majestically in her red ankle-length dress and black three-inch heels. As she walked in, she seemed so proud of herself. It was as clear as day that she was fishing for compliments. All the male teachers in the staffroom stared at her, and she loved the attention. She had finished her English lesson with her fifth-grade students.
"I don't understand my students anymore. They hardly try to show commitment in their work! Look at this assignment I gave them yesterday" She leaned towards Mr. Paco as their desks were right next to each other. Paco burst into laughter as soon as he saw the student's composition Mrs. Floddle was holding in her hand. It's like he understood that laughter is the best medicine and is contagious for sure. His laughter drew the attention of other teachers in the staffroom. They all rushed to her white, quite organized table and tried to find the amusement behind the paper. "You need to use a different approach Mrs Floddle. Your students don't take you seriously, " Ogler, the science teacher, commented as he tapped the floor with his crocodile-looking sharp-shooters and walked towards his desk. His desk was next to the staff room door hence the nickname 'Usher' by his colleagues.
The staffroom looked as busy as a beehive. The tea flask, together with the bread tray, made rounds on the teacher's desks. Teachers were conversing, mocking students they termed as stubborn while laughing sarcastically and loudly. The wooden board was congested with all sorts of papers. The unevenly painted wall was full of writings and peeled brown wallpapers that looked like they had been installed long before civilization was invented. They didn't seem to care. On the higher walls, the names of best-performing students hang on a plank of brown wall-mounted wood. On it was the sign, ‘Best Behavior Students In school.’ Below the heading was ten vague names engraved with what looked like a screwdriver.
Felicity stepped into the staffroom with her as white as a snow lab coat and a pile of books in her left hand. She looked like she’d been hit by a bus. "I could use a cup of tea, my fellow teachers!" she claimed. Mrs Felicity sat at her almost falling desk and requested Paco to pass her a cup. The look on her face was priceless when she realized the teachers had drunk all the tea. Her sunken eyes got teary. Lucky enough, the staffroom window was very high such that students would not witness their teachers cry or scramble for food like uncivilized human beings. Teachers talked about sex and their love for marijuana based on the 'High Road Valley' show, aired on cable. They didn't care for the information they were exposing their students to.
At the end of break time the bell rang, the facial expression on their faces screamed disappointment. "They should give us ten more minutes! I barely touched my bread!" Felicity cursed. Each teacher drowned in their lesson plans as they prepared for the next period. On the other hand, students moved like a swarm of bees into their various classes to avoid punishment from the teacher on duty. In did time was a thief, and It was just another day at Stonecold Elementary school.
Carl L. Hart Drugs
Society