Author name: Rosemary Mosco

HCAD 635 Week 8 Discussions

Instructions: Please answer using your own words in a minimum of 350 and maximum of 500 words (2-3 paragraphs). PER 5 QUESTIONS SINGLE spaced. Referenced with three (3) peer-reviewed journal articles or qualified text publish within the past five years and follow APA Manual 7th editions scholarly writing guidelines. APA in-text Citation formatting is required. When writing replies, please provide your experiences, new ideas, add probing questions to engage readers and new literature on the topic to enhance the learning

HCAD 635 Discussion 8 Questions –

Instructions: Please answer using your own words in a minimum of 350 and maximum of 500 words (2-3 paragraphs). PER 5 QUESTIONS SINGLE spaced. Referenced with three (3) peer-reviewed journal articles or qualified text publish within the past five years and follow APA Manual 7th editions scholarly writing guidelines. APA in-text Citation formatting is required. When writing replies, please provide your experiences, new ideas, add probing questions to engage readers and new literature on the topic to enhance the learning opportunity.

Questions:

8.1 Regulatory Framework

Legal Issues and Ethics

Laws regulating skilled nursing facilities and assisted living facilities vary by state.  However, most states’ regulations address emergency and disaster preparedness, fire safety, staff training, medication management, resident privacy, and background checks.  Choose two states and research their statutes and regulations regarding LTC facilities.  What do the regulations in these states say about one of these issues?  Where do you see the greatest differences in regulations?  To what do you attribute this?

States of Choice: California and Maryland

8.2 The Social, Political, and Safety Environments

In recent years, we have witnessed unprecedented shifts in societal values, some of which can offer challenges to organizational operations.  Watch Gray Gays:  Aging as an LGBT adult (5:56).  What are two unique challenges facing the elderly GLBT population?  How can the typical nursing home or assisted living facility address the unique needs of this population?

8.3 The Social, Political, and Safety Environments

Select three of the following ethical and legal issues in long term care and comment on the challenges inherent for long term care administrators in effectively responding to them.  Select one topic for a residential setting (i.e., assisted living or nursing home) and select a different topic for home and community based care.  How can an ethics committee can help a Long-Term Care (LTC) administrator effectively deal with these issues?

1. Discrimination
2. Abuse
3. Privacy
4. Malpractice
5. Wrongful Termination
6. Patient Rights
7. Informed consent
8. Advanced Directives

8.4 Survey Says… LTC Practice, Qualifications and Oversight

After reviewing Chapter 7 – Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities, in the State Operations Manual, summarize the primary purpose and focus of the survey mechanism.  How does this differ from other sectors of healthcare (or does it)?  Is the survey process a valuable exercise or unnecessary over-regulation?  Why?

8.5 The Hospice Model

What are the benefits of interdisciplinary team management of patient care as practiced in hospice and palliative care?  Are there potential lessons learned for improving the quality of traditional medical care? What specific tools, skills, and qualifications interdisciplinary team members need to master to offer an effective and efficient customer-centered experience? What would you personally do to develop these skills?