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  • Long-Term Care – Institution, Residence, Hospital, or Home?

    Finding quality long-term nursing care is a growing concern for millions of Americans.

  • The Real Caregivers in the Nursing Home – Certified Nursing Assistants

    The Real Caregivers in the Nursing Home – Certified Nursing Assistants     Certified nursing assistants are integral to maintaining the quality of nursing homes because they have the most extensive contact with residents. Low wages, stressful work, demanding residents, and little recognition often lead to high turnover rates. With these premises, this article asserts…

  • End-of-Life Care in the Nursing Home

    End-of-Life Care in the Nursing Home – Is a Good Death Compatible with Regulatory Compliance   By using relevant clinical practice guidelines for end-of-life care and by incorporating meaningful quality indicators into an effective continuous quality improvement program, nursing facilities can provide quality end-of-life care for their residents while complying with state and federal regulations.

  • Educational Initiatives in Long-Term Care

    Educational Initiatives in Long-Term Care   Most Americans would doubtless agree that positive change is a critical need in facilities providing long-term care. This article describes a project in which staff from the Midwest Bioethics Center (now the Center for Practical Bioethics) and Kansas City area experts in long-term care worked to create meaningful change…

  • Hospice in the Nursing Home – A Valuable Collaboration

    Hospice in the Nursing Home Long-term care facilities have one of the most difficult tasks in healthcare: to maximize the health of frail elderly people. However, our society’s resistance to the natural process of dying commands the assistance of hospice services in helping patients and their families cope with illness and death. The presence of…

  • Cultural Competency – The Caregiver Connection

    Cultural Competency – The Caregiver Connection   Healthcare that is respectful and ethical must also be culturally competent. This article reviews tools provided to caregivers by the University of Michigan Health Care System’s Program for Multicultural Health throughout its many services.

  • Caregiver Access to Resources

    Caregiver Access to Resources Helping Caregivers’ Self-Identify The reluctance of spouses and family members to identify themselves as caregivers is an obstacle to providing services to them. Caren Rugg describes an outreach program that is overcoming this barrier.

  • Supporting Persons with Developmental Disabilities – A New Model

    Supporting Persons with Developmental Disability   The way we think about and care for people with developmental disability has changed – from society believing that caregivers always knew what was best to now people with disability participating in all aspects of community life.

  • Saying Goodbye – The Terri Schiavo Case

    We struggled to say “Goodbye. We love you, Terri.”

  • The Case of the Careless Caregiver

    Has caregiving gone wrong in this case?