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Started By
Message
re: JBE, the COVID After Action Report (AAR) and the case against Nursing Homes...
Posted on 4/18/20 at 9:09 pm to lsucoonass
Posted on 4/18/20 at 9:09 pm to lsucoonass
You know then as well as I do nowhere is perfect but more often than not we all do the best that we can to get them to be social, to eat, to participate in therapy, to take their meds, to take a shower and so on.
It’s hard and right now it’s heartbreaking more so than on a regular day.
It’s hard and right now it’s heartbreaking more so than on a regular day.
1
Posted on 4/18/20 at 9:13 pm to GFunk
Why are you against nursing homes? Do you not want to watch your grandpa get forced to fight other old people by 300 lb black women on worldstar?
Posted on 4/18/20 at 10:40 pm to tiger91
Hell yes
Our facility is getting patients/residents who need hospice care and not therapy due to the pandemic
Our facility is getting patients/residents who need hospice care and not therapy due to the pandemic
Posted on 4/18/20 at 10:42 pm to lsucoonass
But I still have to evaluate,
This is where documentation comes into play.
Also many residents will get c-diff and they have a roommate so these things spread like wildfire.
This is where documentation comes into play.
Also many residents will get c-diff and they have a roommate so these things spread like wildfire.
Posted on 4/18/20 at 10:52 pm to lsucoonass
quote:
Our facility is getting patients/residents who need hospice care and not therapy due to the pandemic
Man we're not even admitting. We've got an iso/covid wing and hadn't had admits in maybe 2 or 3 weeks.
Why are they getting c-diff? We've thankfully had some that the family FINALLY made DNR. After SEVERAL phone calls and messages were left.
This post was edited on 4/18/20 at 10:54 pm
Posted on 4/18/20 at 10:58 pm to tiger91
This one case is a pt with hx of intestinal issue
I think we had one guy who may have had covid but he recently passed away a few days after he was brought to the hospital for fever, couldn’t move, sob, and needed supplemental oxygen. If he caught it could have been from his roommate that may be asymptomatic, since he returned from a hospital visit
I think we had one guy who may have had covid but he recently passed away a few days after he was brought to the hospital for fever, couldn’t move, sob, and needed supplemental oxygen. If he caught it could have been from his roommate that may be asymptomatic, since he returned from a hospital visit
Posted on 4/19/20 at 8:12 am to GFunk
quote:
You've mistaken my argument as one that is strictly dollars and sense.
I must’ve misunderstood
quote:
least 20-30%, if not far far more that you realize you're just issuing out a talking point.
If a nursing home whose payments had increased by more than double over a 10 year span still resembled a facility from a time more than three times over compared to the cost increases, we'd probably have already done something about it.
You understand the cost of care and the skyrocketing, unsustainable cost increases, along with the folk that are simply advocating to have a greater choice in the matter are not wrong painting a picture that a special interest group and lobbying efforts are retarding a market from operating efficiently...correct?
You're using influence-read: Money and greed-to fuel an inequality within a marketplace in a capitalist society. I'm not here saying we need pure free markets everywhere all the time.
But in a market where your product or option's costs are increasing over the last decade at more than double the current rate of annual inflation as of 2019 (5.4x vs 2.3 for 2019 rate of inflation) you can't deny that the only method for maintaining your place within the market as a leader has been to influence the methods and the masters of those methods (politicians)
Nope, didn’t
Posted on 4/19/20 at 8:26 am to el Gaucho
Lol this is true at a lot of places
Carrington place in Baton Rouge in particular, that place was a dump. There’s another one that’s in the ghetto of Baton Rouge
Carrington place in Baton Rouge in particular, that place was a dump. There’s another one that’s in the ghetto of Baton Rouge
Posted on 4/19/20 at 8:27 am to lsucoonass
What I’m wondering is why it takes so long for these buildings to be remodeled, many have been up for 50 plus years
And I always see fricking clogged toilets
And I always see fricking clogged toilets
Posted on 4/19/20 at 9:08 am to GFunk
I think home care will replace nursing homes...but no one has a lobby in La like he nursing home industry.
There was a bill a few years ago to allow cameras (something like that) in nursing home rooms so that families could monitor what was going on. Then the lobbyists went to work and it died. No accountability.
There was a bill a few years ago to allow cameras (something like that) in nursing home rooms so that families could monitor what was going on. Then the lobbyists went to work and it died. No accountability.
Posted on 4/19/20 at 9:25 am to tigerfoot
quote:
tigerfoot
quote:
I must’ve misunderstood
quote:
Nope, didn’t
The other points had already been made. You ignored them. Twice now in fact. I called out that deflection and then responded to the one you did try to speak to. So you’re right...you didn’t misunderstand. You’re obfuscating on purpose. Which is telling.
Also telling is that even on the one matter you wanted to defend the industry on (costs) you have not responded in any way to the staggering increases in cost of care compared to other options along with the obvious lobbying occurring by the industry that goes against public sentiment, public preference, controlling costs, public health and patient outcomes.
You’re quite right. You understand just fine. There’s a reason you’re taking the tack that you are and have to purposefully ignore the issues.
We all know. So do you. But hey...be thankful your lobby does this work for you. In the real world, without its influence, the market would force you to adapt and provide your customers with a much better product. Or simply find another business when more efficient options to those in the market could actually be chosen.
We all know.
Posted on 4/19/20 at 12:27 pm to Overbrook
There is already home health
There are also assisted living facilities
Nursing homes aren’t going anywhere, some homes will become long term acute care facilities. Some will transition to memory units/behavioral health. The problem is that nursing homes are accepting people with severe behavioral/mental health problems because of the shortage of mental health care. That’s not changing anytime soon.
You pay an unmotivated cna 10-13 bucks an hour, it’s a recipe for disaster yet it won’t change
There are also assisted living facilities
Nursing homes aren’t going anywhere, some homes will become long term acute care facilities. Some will transition to memory units/behavioral health. The problem is that nursing homes are accepting people with severe behavioral/mental health problems because of the shortage of mental health care. That’s not changing anytime soon.
You pay an unmotivated cna 10-13 bucks an hour, it’s a recipe for disaster yet it won’t change
Posted on 4/19/20 at 12:28 pm to Overbrook
Not fully correct, maybe it’s different here in Texas but family can request 24 hour surveillance
I worked in Louisiana as well maybe it’s not as extensive
I worked in Louisiana as well maybe it’s not as extensive
Posted on 4/19/20 at 12:44 pm to GFunk
quote:Tell me one thing. Tell me how many times that you have entered into a nursing facility in the last decade and compared them to the activities going on 10 years ago. In terms of case mix, acuity, nursing hours, CNA hours, dietary requirements...then take a gander at the amount of money required to continue to meet ever increasing regulatory requirements.
We all know. So do you. But hey...be thankful your lobby does this work for you. In the real world, without its influence, the market would force you to adapt and provide your customers with a much better product. Or simply find another business when more efficient options to those in the market could actually be chosen.
I am sure you are intimately familiar with all changes that have occurred in long term care recently.
quote:While you continue to completely ignore the fact that the residents are sicker and sicker...the majority unable to utilize these other options. Of course you know that the LTC facilities are treating residents with the same diagnosis of acute hospitals.....and doing it damn near as efficiently for much less money.
cost of care compared to other options
These are the same residents that you say should be utilizing other levels of care...the ones that up until recent years were in acute care hospitals.
quote:
The analysis looked at the work of seven different organizations, called Enhanced Care and Coordination Providers, or ECCPs, operating in seven states. Hospitals collaborated with 143 nursing homes, with the aim of identifying residents whose conditions could be managed in the SNF, instead of a hospital. They found success in that regard, with percentage-point reductions of 2.2 to 9.3 in all-cause hospitalizations in 2015, RTI notes.
Mortality rate changes were miniscule, ranging from an 0.8 percentage-point reduction to a 1.5 percentage-point increase. Authors believe this success could be translated to other SNFs.
“With increased clinical care capacity and staffing support in identifying, assessing, monitoring and managing residents’ condition changes on site, this success might also be within the reach of nursing facilities that did not participate in the initiative,” the study concludes.
Posted on 4/19/20 at 2:41 pm to tigerfoot
I don’t think everyone realizes how hard 24/7 care for a loved one when it’s in your own home and your care
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