Life Sustains Measures And Nursing Home Condition Essay

Post two responses to the original posts of any other classmates (50+ words for each response)

Posting should ask for clarification, challenge (respectfully) ideas, or describe a situation that illustrates the points being made. Simply agreeing or disagreeing with a post is not adequate

Threaded Discussion:

How do you feel about the use of life-sustaining measures in the face of terminal illness? Examples: Permanent coma? Irreversible chronic illness, such as Alzheimer’s disease? Debilitating Stroke? Life Sustains Measures And Nursing Home Condition Essay

How do you feel about particular medical procedures? Examples: mechanical breathing (respirator), cardiopulmonary resuscitation (CPR), artificial nutrition and hydration, hospital intensive care, pain relief medication, chemo or radiation therapy, and surgery.

The original posts must be at least 200 words in length (100+ words for each question)
Discussion responses should demonstrate critical thinking skills and be thoughtful, promote, and respectful
Post two responses to the original posts of any other classmates (50+ words per each response) Life Sustains Measures And Nursing Home Condition Essay
Posting should ask for clarification, challenge (respectfully) ideas, or describe a situation that illustrates the points being made. Simply agreeing or disagreeing with a post is not adequate
Threaded Discussion:

Would you want to be placed in a nursing home if your condition warranted? Why or why not?
Would you want to have financial matters taken into account when treatment decisions you would make? Why or why not?

The quality of care in nursing homes and other long-term care settings is a major concern for local, state, and national policy makers and is becoming an ever-pressing issue. Recent reports of poor conditions in nursing homes1 have captured national attention and raise questions not only for providers but also for the state and federal agencies responsible for ensuring quality of care in these settings. In 1986, the Institute of Medicine (IOM) Committee on Nursing Home Regulations issued its report Improving the Quality of Care in Nursing Homes. Its recommendations provided the basis for Congress to enact a major reform of nursing home regulations embedded in the Omnibus Budget Reconciliation Act of 1987 (OBRA 87). The legislation was refined through subsequent enactments in 1988, 1989, and 1990. The Health Care Financing Administration (HCFA) issued the enabling regulations in 1990, which were implemented in 1990 and 1991. The enforcement regulations were issued in 1994 and became effective in July 1995. OBRA 87, and its implementing regulations, substantially extended and reshaped the regulation of nursing homes aimed at improving the quality of care provided in these facilities. Life Sustains Measures And Nursing Home Condition Essay

Since the IOM issued its 1986 report, many changes have occurred. Long-term care is no longer synonymous with nursing home care. The