Week 9

Nursing Home
Facility
Prepared by:
Prof. Caroline V. San Diego
MAN,RN
At the end of this unit (CU)the
learners will be able to:
1. Identify types of grief.
2. Understand the sign of impending death.
3. Describe long-term care facility.
✘ 

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 LONG TERM CARE
✘ a variety of services which help meet both the
medical and non-medical needs of people with a
chronic illness or disability who cannot care for
themselves for long periods.

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“
A. NURSING HOMES
STANDARDS
B. NURSING HOME
RESIDENTS
C. ASSSSTED LIVING
COMMUNITIES
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✘ A. NURSING HOMES
STANDARDS

“
✘ “must provide services and
activities to attain or maintain the
highest practicable physical,
mental, and psychosocial well-
being of each resident in
accordance with a written plan of
care.”
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REGULATIONS RELATED TO NURSING HOMES
•Resident rights
•Admission, transfer, and discharge rights
•Resident behavior and facility practices
•Quality of life
•Nursing services
•Dietary services
•Physician services
•Specialized rehabilitation services
•Dental services
•Pharmacy services
•Infection control
•Physical environment
•Administration

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✘ B. NURSING HOME

“ RESIDENTS
✘ care homes, also
called residential care facilities
or group homes, are small
private facilities, usually with
20 or fewer residents.
✘ 
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FACTORS TO CONSIDER WHEN SELECTING A
NURSING HOME
•COST
•PHILOSOPHY OF CARE
•ADMINISTRATION
•SPECIAL SERVICES
•STAFF
•RESIDENTS
•PHYSICAL FACILITY
•MEALS
•ACTIVITIES
•CARE
•FAMILY INVOLVEMENT
•SPIRITUAL NEEDS

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✘ C. ASSISSTED LIVING

“ COMMUNITIES
✘ designed for older adults who
are able to remain independent
and active, but need a helping
hand.
✘ 
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MAJOR RESPONSIBILITIES OF GERONTOLOGICAL NURSES
INLONG-TERM CARE FACILITIES
• Assist residents and their families in the selection of and adjustment to
the facility
• Assess and develop an individualized care plan based on assessment
data
• Monitor residents’ health status
• Recommend and use rehabilitative and restorative care techniques when
possible
• Evaluate the effectiveness and appropriateness of care.
• Identify changes in residents’ conditions and take appropriate action.
• Communicate and coordinate care with the interdisciplinary team.
• Protect and advocate for residents’ right
• Promote a high quality of life for residents.
• Assure residents’ preferences and choices are honored.
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• Ensure and promote the competency of nursing staff.
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DEATH AND DYING
✘ Loss
✘ An actual or potential situation in which something that is
valued is changed, no longer available or gone.
✘ Parting with an object, person, belief or relationship that one
values.
✘ Loss of body image, significant other, a sense of well-being,
a job, personal possessions, beliefs, a sense of self. etc.
✘  

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Types of Loss:
1. Personal loss
2. Perceived loss
3. Maturational loss
4. Situational loss
5. Actual loss
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Grief
✘ The total response to the emotional experience related to loss which
is usually resolved within 6 months to 2 years.
✘ May be experienced as a mental (anger, guilt, anxiety, sadness &
despair); physical (sleeping problems, difficulties in swallowing,
vomiting, fatigue, headaches, dizziness, fainting, blurred vision,
skin rashes, excessive sweating, menstrual disturbance, palpitations,
chest pain, dyspnea, changes in appetite, physical problems, weight
loss, or illness); social (feelings about taking care of others in the
family, seeing family or friends, or returning to work, or emotional
reaction (depression, etc.)
✘  

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Types of Grief:
1.Abbreviated grief
2.Anticipatory grief
3.Dysfunctional grief

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Grieving process
✘Sequence of affective, cognitive
& physiological states through
which the person responds to and
finally accepts an irretrievable
loss.
 

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Bereavement
✘ The subjective response experienced by the
surviving loved ones after the death of a person
with whom they have shared a significant
relationship.
✘ Experience alterations in libido, concentration,
patterns of eating, sleeping, activity and
communication.

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Concepts which help the
Nurse to Plan for
Interventions:
1. Mourning
2. Hope
3. Closure

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Sources of Loss
1. Loss of Aspect of Self
2. External Object
3. Accustomed Environment
4. Loved Ones
5. Loss of Life

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