In order to appreciate the oral/systemic connection as it relates to vascular wellness, it is imp... more In order to appreciate the oral/systemic connection as it relates to vascular wellness, it is important to understand health from the perspective of the arteries and the mouth.
The author shares observations made during a recent physician office visit and describes alternat... more The author shares observations made during a recent physician office visit and describes alternatives to enhance person-centered care.
Purposes/Aims The purpose of this paper is to describe a new process of care that enhances elder ... more Purposes/Aims The purpose of this paper is to describe a new process of care that enhances elder food choice in nursing homes. Rationale/Background Quality of life or “culture change” in nursing homes is fast becoming a national focus as nursing homes embrace evolution from institution-like models of care to nurturing environments that are person-directed or person-centered.1 Many nursing homes are struggling to evolve their menus away from the traditional approach to a more person-centered approach to meal service. Implementation is difficult and often impossible secondary to cost and budget constraints. Undertaking/best practice/approach/methods/process As a part of a larger research study, 30 nursing home elders were assisted in marking the “face” (1=horrible to 5=happy) that most closely matched their own opinion of each food item served (main entre, vegetable, starch, and dessert). Menu items with a median score of 3.5 or higher remained on the menu. Over a period of 9 weeks (3...
Quality of life or “culture change” in nursing homes is fast becoming a national focus as nursing... more Quality of life or “culture change” in nursing homes is fast becoming a national focus as nursing homes embrace evolution from institution-like models of care to nurturing environments that are person-directed or person-centered.2 Many nursing homes are struggling to evolve their meal service away from the traditional approach to a more person-centered approach. Implementation is difficult and often impossible secondary to cost and budget constraints. The purpose of this paper is to describe the costs associated with implementing the Eat Right Food Delivery System. Eat Right is a multi-level, two-component delivery system. Component one systematically changes and updates menus to include food residents like to eat; while Component two supports resident food choice by using a select menu and a buffet-style dining program in the dining room. Using a two-group, repeated measures design the intervention was tested in one nursing home while a second nursing home acted as the comparison. ...
Medication assistants (MAs) are a legal alternative that enables licensed nurses to safely delega... more Medication assistants (MAs) are a legal alternative that enables licensed nurses to safely delegate medication administration to stable residents in non-acute settings. The purpose of this study was to query the beliefs and understanding of skilled nursing facility staff regarding the Washington State Medication Assistant Endorsement Program (MAEP). A 15-item survey was developed and administered to a convenience sample of 218 nursing staff from five eastern Washington nursing homes. Most believed that MAs would not change the cost of care, nor would they enhance or reduce the quality of care provided to residents in skilled nursing facilities. The relatively few Licensed Practical Nurses surveyed (n = 19) were the least in favor of MAs, possibly fearing job loss with the addition of MAs to the staffing mix at their facilities. These factors in combination may reflect why MAEP has not yet been embraced by providers in Washington State.
In order to appreciate the oral/systemic connection as it relates to vascular wellness, it is imp... more In order to appreciate the oral/systemic connection as it relates to vascular wellness, it is important to understand health from the perspective of the arteries and the mouth.
The author shares observations made during a recent physician office visit and describes alternat... more The author shares observations made during a recent physician office visit and describes alternatives to enhance person-centered care.
Purposes/Aims The purpose of this paper is to describe a new process of care that enhances elder ... more Purposes/Aims The purpose of this paper is to describe a new process of care that enhances elder food choice in nursing homes. Rationale/Background Quality of life or “culture change” in nursing homes is fast becoming a national focus as nursing homes embrace evolution from institution-like models of care to nurturing environments that are person-directed or person-centered.1 Many nursing homes are struggling to evolve their menus away from the traditional approach to a more person-centered approach to meal service. Implementation is difficult and often impossible secondary to cost and budget constraints. Undertaking/best practice/approach/methods/process As a part of a larger research study, 30 nursing home elders were assisted in marking the “face” (1=horrible to 5=happy) that most closely matched their own opinion of each food item served (main entre, vegetable, starch, and dessert). Menu items with a median score of 3.5 or higher remained on the menu. Over a period of 9 weeks (3...
Quality of life or “culture change” in nursing homes is fast becoming a national focus as nursing... more Quality of life or “culture change” in nursing homes is fast becoming a national focus as nursing homes embrace evolution from institution-like models of care to nurturing environments that are person-directed or person-centered.2 Many nursing homes are struggling to evolve their meal service away from the traditional approach to a more person-centered approach. Implementation is difficult and often impossible secondary to cost and budget constraints. The purpose of this paper is to describe the costs associated with implementing the Eat Right Food Delivery System. Eat Right is a multi-level, two-component delivery system. Component one systematically changes and updates menus to include food residents like to eat; while Component two supports resident food choice by using a select menu and a buffet-style dining program in the dining room. Using a two-group, repeated measures design the intervention was tested in one nursing home while a second nursing home acted as the comparison. ...
Medication assistants (MAs) are a legal alternative that enables licensed nurses to safely delega... more Medication assistants (MAs) are a legal alternative that enables licensed nurses to safely delegate medication administration to stable residents in non-acute settings. The purpose of this study was to query the beliefs and understanding of skilled nursing facility staff regarding the Washington State Medication Assistant Endorsement Program (MAEP). A 15-item survey was developed and administered to a convenience sample of 218 nursing staff from five eastern Washington nursing homes. Most believed that MAs would not change the cost of care, nor would they enhance or reduce the quality of care provided to residents in skilled nursing facilities. The relatively few Licensed Practical Nurses surveyed (n = 19) were the least in favor of MAs, possibly fearing job loss with the addition of MAs to the staffing mix at their facilities. These factors in combination may reflect why MAEP has not yet been embraced by providers in Washington State.
Uploads