Reference no: EM132311928

1. The following is what do i see as some important issues in the nursing home: first, service of the staff such as when a patient or a client ring the bell and no one come over. They may be short of staff or they don't want to be bother. second, the food that the nursing home are the worst. It never be hot or the patient will never get it. Third, patient care is one of the issue in the nursing home, such as the staff member doesn't not uses the Pt's lift when they transfer them from the wheelchair and back. or even hurt them when they doesn't listen to them. Last, I visited a friend of the family and she complain about that she doesn't sleep well. She was a client in a nursing home in the Bronx for three month and she said that they use to leave lights on, never give her medication on time and if they do check on them they will walk in and out. I think those major issues in the nursing home because it need to be safe and caring facility for those who need it. It is not right that that nursing home are changing for service and giving the worst care for the patient. To fix those issues is to hire new employee with experiences that want to work and have skills. Also, every year they need to give the employee training on the medical lift, training on how and when to give the medication and give the client their paid food hot not cold.

2. Nursing homes vary widely in the amount and type of care they provide and in their average costs. Residents of long-term care facilities vary in the type and severity of their disabilities and chronic conditions. Nursing facilities are plagued with many issues, however, some of the very important issues in nursing homes include staffing, recruitment and turnover, and burn out. I believe these are major issues because understaffed nursing homes mean that residents won't receive the required care. Patients would not be turned frequently increasing their chances for getting pressure ulcers and suffering fall injuries due to nurses being unable to respond to the call bell. Recruitment and turnover contribute to reduced nursing staff because nursing homes have to compete with hospitals in addition to other nursing homes. People are also living longer which results in an increase demand for long-term care. Things that can be done to fix these issues include offering incentives, improving communication, acknowledge a job well done, and considering nurse's opinions when making decisions as they are the ones providing care. Nursing facilities can retain their staff by offering incentives like money for continuing education. Continued employee development and training can ensure that everyone feels they are working toward further goals. Continued education is an important part of a nursing career, so providing avenues to pursue it will keep staff engaged. Management and supervisors must be visible and available to their teams, and they must solicit input from nurses on critical work issues. Effective interpersonal communication in both personal and professional settings, may reduce stress, promote wellness and therefore, improve overall quality of life.