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Starting in the 17th century, the concept of poorhouses also referred to as almshouses were brought to America by English settlers. All orphans, mentally ill and the poor elderly were placed into these living commons.
These poorhouses gave a place where they could be given shelter and daily meals. Poorhouses continued to exist into the early 20th century despite the criticism they faced.
Much of the criticism stemmed from the conditions of the poorhouses. The Great Depression overwhelmed the poorhouses as there were a lot of people that needed help and care but not enough space and funding in the poorhouses.
Due to Muck Raking in the s the less than favorable living conditions of the poorhouses were exposed to the public.
These new residential living homes were called board-and-care homes or also known as convalescent homes. These board-and-care homes would provide basic levels of care and meals in a private setting for a specific fee. Board-and-care homes proved to be a success and by World War 2the new way of nursing homes began to take shape.
As the times continued to change, the government identified the issue of people spending extensive amounts of time in hospitals. To combat these long stays in short-term settings, board-and-care homes began to convert into something more public and permanent that was state and federally funded.
From this, by nursing homes were a solid fixture. Nursing homes were a permanent residence where the elderly and disabled poor elderly and disabled specifically could receive any necessary medical care and receive daily meals.
Though nursing homes in the beginning were not perfect, they were a huge step above almshouses and poorhouses in regards to following laws and maintaining cleanliness. From the s through the s the dynamics of nursing homes began changing significantly.
Medicare and Medicaid began to make up much of the money that would filter through the homes and the amendment laws enforced nursing homes to comply with safety codes and required registered nurses to be on hand at all times.
Later inthe Nursing Reform Act was introduced to begin defining the different types of nursing home services and later added the Residents' Bill of Rights. Some nursing homes still resemble a hospital while others look more like a home. Nursing home residents can pay for their care out of pocket, others may receive medicare for a short time and some may use long-term insurance plans.
Across the spectrum, most nursing homes will accept medicaid as a source of payment. The RN's job duties include implementing care plans, administering medications, recording and maintaining accurate reports for each resident, monitoring and recording medical changes and providing direction to the nursing assistant and licensed practical nurses or licensed vocational nurses.
Licensed practical nurses complete a state-approved one-year program. These basic care activities, also referred to as activities of daily living, can include assisting with bathing and dressing residents, helping residents with meals, either serving them or with feeding, transferring to and from the bed or wheelchair, making and cleaning beds, assisting with toileting, and answering call lights.
Nursing assistants are then listed on the state healthcare registry.
Nursing assistants' titles can range from facility to facility, the job titles include Certified Nursing Assistants CNA'snursing aides, caregivers, patient care associates, patient care techs and care assistants Administration[ edit ] Depending on the size of the nursing home, a nursing home may have either a nursing home administrator or an executive director.
Some nursing homes may have both but their job duties are similar and can include overseeing staff, supplying medical supplies and financial matters. There are certain classes that are commonly taken in this path of study, these classes include nursing home administrative practices, aging and long term care, gerontology and aging, and health behavior.
This job requires at least a bachelor's degree and usually preferred related work experience. These employees are in charge of all aspects of hiring new employees.
Human resources job duties vary but can also include coordinating payroll, organizing orientation programs for new employees, interviewing, disciplinary actions, and ensuring compliance with federal and state laws.
Compliance with the federal and state legislatures are reviewed regularly for adherence to strict standards of building codes, care plans, behavior and altercations between residents, nutrition and dietary services, medical services, nursing and personal care, religious and spiritual practices, pets, and recreational programs.
Housekeepers play a huge part in ensuring that nursing homes are kept clean and free of disease causing agents.
Housekeepers have a long list of duties which include cleaning floors, changing linens, disinfecting bathrooms, changing towels, washing clothes, emptying garbage cans, sanitizing rooms, replenishing supplies, dusting and polishing furniture, vacuuming, and keeping windows and woodwork clean.
Housekeeping does not require any licensure or schooling, but some housekeeping jobs may prefer prior job experience. The activity director job requires an associate degree or a bachelor's degree and allows for further certifications through the National Council for Therapeutic Recreation.
The transition from being independent to having to depend on others and be away from home is oftentimes very difficult, which is why activities are important to combat depression and anxiety.
Volunteer involvement is also an important part of nursing home activities given that volunteers can act as a link between the nursing home and the outside community.
Occupational therapy may be necessary following an injury or illness in order to regain skills and to receive support during any physical or cognitive changes. Occupational therapists work to allow the person to safely and comfortably reintegrate into society by practicing public dining, transferring to different surfaces chairs, beds, couches etc.
Physical therapy may be necessary following an injury, illness or surgery. Physical therapy works with the person to help them regain strength, enduranceflexibilitybalance and range of motion. There are many conditions that can benefit from receiving physical therapy in a nursing home, these conditions include arthritispain associated with cancerdementiaAlzheimer'sstroke and incontinence.
If the person is having trouble with speech, this points to an issue with coordinating the movements and muscles used to produce speech.In addition to University tuition and fees, the student majoring in nursing assumes financial responsibility for the following: uniforms, other clinical accessories and equipment, immunizations, drug and criminal background screening, personal computers, and Texas Board of Nursing application fees.
Join current students as they take you on video tour of new School of Nursing facilities, which simulate hospital and home health care settings. Nursing homes, also known as convalescent homes, are a type of residential care that provide around-the-clock nursing care for elderly or disabled people.
Twenty-four-hour nursing care is available. Nursing homes will provide short-term rehabilitative stays following a surgery, illness or injury which may require physical therapy, occupational therapy or speech-language therapy.
Earn an RN to BSN online from GCU to increase your healthcare knowledge and become a leader in the nursing profession. Learn more and apply to our program. Learn about nursing degree options from University of Phoenix. Explore different online nursing degree programs and view additional program information.
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