Quality Improvement

 

                               

 

 

 

 

 

 

 

Quality Improvement

Name:

Professor:

Institution:

Course:

Date:

 

 

ABIGAIL HO– USE 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

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