Trends In Nursing Home Care

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Nursing practices are ever changing as the environment, technology and time changes. Therefore, nurses? responsibility, the nature of care, and nurses? role has also changed. This paper is centered around the evolving health care changes and its impact on the nursing profession, including a continuum of care, accountable care organization, medical home, and nurses managed health clinics. Furthermore, this paper is presented to three nurses colleague and their opinion and feedback are discussed.
In the 21st century, health care practices have changed rapidly compared to previous decades. Hospitals used to be the most common place to work for nurses, now it is considered only one of the various sectors of work for nurses. As opposed to the past,
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life (Academy Health, 2009). The goal of the medical home care is a team approach, continuity of care, and efficiency of care while managing the cost (Academy Health, 2009). This care approach is based on patient centered, continuous, and comprehensive care. Medical homes focus on coordination and integration of care, quality and safety, enhanced access to care, and an open schedule with extended hours. It promotes open communication between patients and care providers. The patient centered medical home care model has improved the quality of care, patient satisfaction and positive experiences while reducing hospital admission and emergency department visits (Bleser, Miller-Day, Naughton, Bricker, Cronholm, & Gabbay, 2014). The focus of this care model is the prevention and management of chronic disease, promotion of health and wellness in the community by collaborating with multidisciplinary team members, community members, and social services. Nurses assist patients and their family members by providing direct care and educating on disease prevention. They also play a significant role in improving health through the promotion of immunization and assisting the patient and family to adopt self-care practices, as well as teaching healthy habits such as …show more content…
The nurse managed health clinics are managed by advanced practice nurses to provide efficient and cost effective primary health care and/or wellness services, including prevention, early detection, and management of chronic disease, along with the promotion of health, teaching and counseling to the underserved population (American Association of Colleges of Nursing, 2010). The managed care clinics provide services regardless of income or insurances with the association of the university?s department of nursing, government?s qualified health centers, social services agencies, and nonprofit health care organizations. These clinics are well trusted by community members because of their comprehensive and community based, patient and family centered, holistic and culturally competent patient and family care (Burke, & Schwartz, 2012). Evidence shows that advanced practice nurses are capable of providing accessible, affordable, and safe health care by utilizing team work and interdisciplinary care approach to achieve the common goal of health promotion, prevention, and wellness of the patient and the community (Burke & Schwartz,

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