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Challenges of Nursing Home Evaluations


Nursing home evaluations are one of the toughest challenges for the nursing home industry. While professional care givers must must make decisions on how to provide the best care and assistance for elderly patients limited by incontinence, care facilities are finding it difficult to meet the care standards required. They are battling with the challenging issues of providing sufficient staffing, providing adequate care and assistance, implementing employee drive and initiative that will inspire them to provide the best possible care, and compensating the staff for working hard and providing the best care possible.

Many nursing homes often find it difficult to establish and maintain a suitable nursing home evaluation and management process. These evaluation processes are crucial in determining an aging person's status of continency, and the quality of assistance and care that each person will require. One effective method used to ensure that accurate assessment and management processes take place is the selection of one staff member to complete the nursing home evaluation. The ideal candidate may be an employee who is a significant part of long-term care. One person who is driven and determined to complete the evaluations quickly and accurately is way more efficient than random staff members who could care less of the task given to them.

The chosen staff member would be expected to conduct introductory evaluations, which provide useful information about the MDS and the RAP programs ensure the completion of required programs and treatments, organize and assign various duties and responsibilities to members of staff, and decide whether or not additional guidance and instruction would benefit the patient and the family.

Staff members often ignore or disregard indicators that suggest hidden causes for incontinence. Nursing home professionals should be aware of any changes in the health and continency of the nursing facility residents and take any steps necessary in preventing or reversing patient the issue. If a resident starts developing distinct signs that were not previously noted by caregivers, then a medical examination should be requested to pinpoint the initial cause.

Nurses can take an easier approach in determining the cause of incontinence by skimming through the MDS trigger. The MDS provides employees with the majority of certain health conditions and symptoms that cause incontinence, and it is resourceful when determining the initial cause. After recognizing the signs and closely monitoring the nursing home senior, the caregiver should recommend a physical examination and precise history check. The history report should include details on the patient's prior medications, treatments, and illnesses, as well as a chart illustrating the consistency and regularity of incontinence. Following the examination and history, nurses have to distinguish between the abrupt and unexpected symptoms recently noted and any previous symptoms that are reoccurring.

Transient forms of incontinence are often associated with conditions of depression, immobility, heart failure, and diabetes, which all can usually be detected with the results of a physical and patient history information. Some prescribed medications that could also trigger symptoms are sedatives, stimulants, and anti-psychotics. If treatment was not effective and the patient continues to show symptoms, the nurses and physicians must continue examinations and search for the primary cause.

Since dealing with these types of issues are very important, nursing home evaluations are a necessity when it comes to reviewing the effectiveness and quality of care of the staff.

Nurses can also turn to the RAP, which supplies a calculation or formula for persistent and permanent causes of incontinence. The RAP educates the nurses on various influential bladder causes and advises them on which tests to conduct for the evaluation.

Incontinence presents itself in two different types. Stress and Overflow incontinence. The stress related issue is easily detected by a clinical stress exam. Weak bladder control is a result of this type of incontinence and is most common in women. Overflow incontinence is most common in men and should be checked by a urologist to rule out any traces of prostate cancer.

In conclusion, the assisted living industry is slowly, but surely, increasing the quality of care provided by facilities and looking at those statistics through nursing home reviews. Learning new processes of nursing home evaluations, and using new tools and guides that offer effective methods of various care-giving duties and responsibilities, a nursing homes evaluation can improve over time and the increasing percentage of incontinence in care facilities will continue to drop at a steady and satisfactory rate.

When searching to find a nursing home, it is very important that you are rating nursing homes according to a standard. Search our nursing home directory to find the best long term care facility in your area today!

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