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In: Nursing

Challenges in Long-Term Care Your instructor will assign you a research article relating to the current...

Challenges in Long-Term Care Your instructor will assign you a research article relating to the current challenges in the long-term care continuum and their impact on the current long-term care industry.

The research paper that I have chosen is at this link:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193350/

The Changing Face of Long-Term Care

Bruce C. Vladeck, Ph.D., Nancy A. Miller, Ph.D., and Steven B. Clauser, Ph.D.

Read the assigned research paper and after you have completed your review, create a Microsoft Word document addressing the main challenges discussed in the paper. Be sure to incorporate the following:

- Introduction and background of the research paper

- Stakeholders interested in the study

- Challenges in the long-term care continuum

- Impact of the challenges on the long-term care system (specifically on staffing, funding, and regulation)

- Recommendations to address the challenges

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Submission Details: Your assignment should be addressed in a 2- to 3-page document.

Submit your document to the Submissions Area by the due date assigned.

Due Date May 23, 2018 11:59 PM

Solutions

Expert Solution

Introduction:
?As the aging population grows,long-term-care needs for many in our society and also at the present polpulation..People with chronic disabilities and illness and psychological ill,substance abuse needs this type of delivery..Research of health care financing administrations(HCFA) providing demonstrations and quality assurance for this issues..They are financing for this solution..
?Stakeholders:
? Somers,1987: They provided the service for LTC as a institutional,community and home settings
?U.S Bureau of the census 1990:This income program supplies the data about individual with developmental disabilities..
?centers for disease control,1993..This program findout the number of cases died with AIDS and those who need long term care
?Manton,conder and stallard,1993:This service provide information of chronic disabilities among elders.It took effort to reduce in age-specific disabilities..
?Dejong,1987,data provides number of working age persons.
?Dejong,batavia and griss,1989,It reduced the rate of mortality for individuals with spinal cord injury and major physical impairments among non-elderly population..
Miller 1992,provides community-based services
?Merzelet al,1992.It provided the treatment for HIV infected persons and increased their survival time..
?Challenges in the long term care continuum:
?-Over 42.6million people of the U.S population have a physical or mental disabilities..the people age over 65 to 74 they need with ADLs
?-People with this condition they are receiving community based,non-institutional care and intermidiate care and nursing care facilities for mentally retarded..
?-Adults inder 65yrs with physical disabilities need assistance with ADL or IADLs..Those who are disabled and poor LTC needed under the poverty level..
?Impact of the challenges on the long-term care system:
?Factors impact of the challenges of the long-term care system are biomedical innovations on the part of the providers.data shows growth in non-elderly disabiling increasing rapidly.Research and demonsration activity focused much towards LTC needs..Extensive body of research suggest that non-institutional increasing health care cost..so strategies recommended that making expansion of finances home and community based care will be expansive and it will target the service..
? Health maintenance organizations providing flexibility in health services under risk base payment system..
?Recommendation:
? Technical improvement and utilization control will be useful for this LTC..Community supported living arrangements(CSLA) program in 1990 planned more service for persons home and community service authorization..
? Estimated around 108 billion dollar will be spend on LTC in 1993,36% from personal resources,41% from medicaid,23% others,LTC is funded by public dollars..Private LTC insurance provided 1 to 2% of total LTC dollars..Institutional dollars continue to dominate medicaid LTC expenditures..
? Federal and state govenment are providing attention to rise cost in LTC..private financing the market place for private LTC insurance in changing..this insurance protect the state regulation and standards..



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