Nursing Homes And Transition Of Care

Nursing Homes And Transition Of Care


The population of older adults is rapidly increasing because of the constant increase in life expectancy. It is projected that in the next 40 years the number of older adults will be higher than that of the younger people. Therefore, the number of older adults is estimated to grow by more than the double rate from 880 million in 2012 to slightly above 2 billion in 2050. Concurrently, aging is associated with increased functional disabilities and a rise in morbidity rates. Many older adults desire to age-in-place, to remain independent, autonomous, and active. They also want to age at home where family and friends surround them. The paper comprehensively describes an article by Lecovich (2014) that describes aging in place (AIP) among older adults.

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Describe what you found
Aging in place (AIP) is the ability to experience a safe, comfortable, and independent stay in one’s homestead or community regardless of age, ability level, or income (Center for Disease Control and Prevention [CDC], 2017). Lecovich (2014) begins by exploring AIP and gives the various dimensions associated with the term such as physical, social, psychological, and cultural dimension. According to Lecovich (2014), AIP deals with the strategies of making a home more functional and less risky for the elderly population by providing numerous home aids to assist in various aspects of daily life. From the older person’s point of view, the goal of aging is to stay in their homes for an extended period since it helps in preserving their identity and well-being, and they have control of their lives (Anderson et al., 2018).
From the policymakers’ point of view, the goal of aging is to provide alternative care for older adults in their communities because institutional care is much more expensive than providing care in the community (Black et al., 2015). The author also describes some of the programs designed to facilitate AIP. These include home-based programs, age-friendly communities, and AIP in long-term-care facilities. Lecovich (2014) also describes the factors that policymakers need to consider before implementing AIP. These are community planning, housing programs, health, land use, transportation, and social services.

How it can help older adults transition back to the community
AIP is an important strategy that enhances the person-environment fit by improving personal control, living conditions, and reducing environmental pressure (Lecovich, 2014). This implies that older adults should massively embrace the idea because of its positive results. The author educates people on community care which is the care offered to the elderly population in their own homes or communities rather than in homes or long-term care facilities. By reading the article, the older adults can also get to learn of formal home-and community based supportive services and assistive technology devices that have been developed to meet the demands of the older people (Kim et al., 2017). They include home care services, home-hospice, home health care, telemedicine, and tele-homecare. Lecovich (2014) also describes age-friendly communities and AIP in long-term care facilities. All these help in acquainting older people with strategies for AIP and therefore one can choose the most effective method to help in the transition back to the community.

Whether the article is helpful or not
The article by Lecovich (2014) is useful to older adults, healthcare providers, and policymakers. It informs older adults on some of the programs that have been developed to facilitate AIP. For instance, the Global Age-Friendly Cities Project, a program launched by WHO purposely to promote the physical and psychosocial well-being of the older adults thus helping to improve the quality of life of the whole society (Szanton et al., 2016).
Other programs include home care services, home-hospice, and home health care. The article enlightens nurses and social workers in the role of caregiving such as providing help with assistive devices, operating specialized medical equipment and ensuring older people adhere to the prescribed medication regimen. Lecovich (2014) also implies that policymakers should give more attention to community planning, housing programs, health, land use, transportation, and social services due to the increasing number of baby boomers.

How healthcare providers (nurses or social workers) might be able to assist the client in getting access to these things or who they might recommend them to
The caregivers have a role to play in assisting the clients on using assistive devices, ensuring they take medications as prescribed, and assisting in activities of daily living (ADLs). The healthcare professionals help in sourcing for gerotechnologies and assistive devices from respective organizations and make them available to the older adults. These help in the person-environment interaction, hence, helping the older adults to age-in-place and alleviate caregiving burden (Lecovich, 2014).

AIP is the ability to experience a safe, comfortable, and independent stay in one’s homestead or community regardless of age, ability level, or income. There are various programs which have been designed to facilitate AIP. These include home-based programs like home care services, home-hospice, and home health care and community-based programs such as the Global Age-Friendly Cities Project. The social workers perform a variety of roles in caring for older adults including in assisting the clients on using assistive devices, ensuring they take medications as prescribed, and helping in ADLs.


1. Anderson, K., Dabelko-Schoeny, H., and Fields, N. L. (2018). Home-and community-based services for older adults: Aging in context. Columbia University Press.
2. Black, K., Dobbs, D., and Young, T. L. (2015). Aging in community: Mobilizing a new paradigm of older adults as a core social resource. Journal of Applied Gerontology, 34(2), 219-243.
3. Center for Disease Control and Prevention (CDC). (2017). Healthy places terminology. Retrieved from
4. Iecovich, E. (2014). Aging in place: From theory to practice. Anthropological notebooks, 20(1), 21-33. 5. Kim, K. I., Gollamudi, S. S., and Steinhubl, S. (2017). Digital technology to enable aging in place. Experimental gerontology, 88, 25-31.
6. Szanton, S. L., Leff, B., Wolff, J. L., Roberts, L., and Gitlin, L. N. (2016). Home-based care program reduces disability and promotes aging in place. Health Affairs, 35(9), 1558-1563.

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Pain Management For Non-verbal Patients

Pain Management For Non-verbal Patients


Pain management in relation to non verbal patients could be one of the most challenging tasks when it comes to taking care of wounds that require debridement, wound vacs and panking (Kandel, 2010) However, it is now well established that unresolved pain is more likely to cause a negative impact on the process of wound healing or even lead to neuropathic pain (Abraham, 2008). This implies that efficient pain and management care especially for the non verbal patients is a core concept that needs to well taken care of. This assignment was aimed at analyzing ways in which care for non verbal patients with regards to pain management of chronic wounds has been handled in long term care facilities.

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This study case focused on long term facilities due to their wide exposure to chronic wound pain cases. Chronic pain care and management for non verbal patients such as those that are physical impaired or in a comma in long term care facilities has tremendously improved in most of the facilities. The findings of this study revealed that most nurses are now well equipped with both knowledge and skills to tackle challenges related to chronic wound pain. Both pharmacological and non pharmacological approaches towards managing the chronic pain cases are now employed in most long term care facilities (Moffat, 2014).

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Applying Ethical Principles In Practice

Applying Ethical Principles In Practice


Ethical principles are guidelines that help in protecting study participants and preserving the integrity of research. These principles include social and clinical value, fair subject selection, informed consent, scientific validity, favorable risk-benefit ratio, and informed consent. The paper utilizes a study on a nosocomial infection to address the ethical principles of social and clinical value, fair subject selection, and independent review. Besides, the article will also explain how the role of nurses in research has changed over time.

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Social and Clinical value
Every research aims at answering a specific question. Providing answers to a problem is essential to society because it provides solutions to present or future diseases (Melynk & Overholt, 2015). For instance, the study on the nosocomial infections in ICU in Fiji is sufficient to provide the prevalence data on the problem. The information garnered from the incidence rate is crucial in describing the current epidemiology and improving the methods of control of nosocomial infections in adults (Naidu et al., 2014).

Fair Subject Selection
The primary objective of the study should be to enroll and recruit individuals and groups based on fair selection but not vulnerability or privilege diseases (Melynk & Overholt, 2015). The people should be chosen in a manner that eliminates risks and maximizes benefits to the individuals and society. The recruitment of study participants in our case was fair and included all the ICU patients whose nosocomial infection had been microbiologically confirmed (Naidu et al., 2014).
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Health Policy

Health Policy


Robert Wood Johnson Foundation website has highlighted and elaborated diverse issues related to health policies with bid of promoting healthy development for communities nationwide and also globally. The foundation believes that best health policies cause high quality care that can ensure lifelong benefits, especially for the most vulnerable populations, and improve the health of the nation. The organization works to advance professionalism in nursing to improve health for the general population. Therefore, to achieve its goal, it comments influence and supports in various ways the conceived and implemented policies.

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The Patient Protection and Affordable Care Act is a policy that favors nurse staffing and RWJF website have seen the advantage of the policy in improving the healthcare sector with the key item surrounding the policy proposal is based on staffing levels on need and not just numbers. The three patient care Delivery models under Patient Protection and Affordable Care policy have been explored. This paper checks at the Patient Protection and Affordable Care policy and how the policy has changed role of nurse to the care integrators and coordinators from front-line caregiver and aid in giving help to underserved people (Shortell,, 2015).
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Home Assessment Care Plan

Home Assessment Care Plan

Home Assessment: Compiled for M.S

Resident & Home Summary
M.M. is a strong and relatively healthy 66-year-old African-American man who retired from banking five years ago. He now lives with his wife, who is 62 years old in a two-story house. He has two pet dogs. The two have been married for 31 years. M.M. has three daughters and who are all married and with children. He has two brothers who both live in Georgia. His parents are deceased. M.M. works out at the local thrice a week and does short morning runs on the other four days. While at home, he enjoys listening to music and plays the guitar and the piano. Periodically, M.S. spends time with his peers playing board games. He sings in the church choir and offers music classes to the youth both at church and in his neighborhood. M.M. has a garden on which he grows vegetables and likes spending time on it with his wife, especially during the weekends. He has known his best friend since high school where they used to sing in the same music band.

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M.M. was diagnosed with diabetes at the age of 15 and has ever since been on strict glucose control through insulin and observance of proper dietary practices. His doctor encourages him to remain adherent to his medication, exercise regularly, and eat healthy foods to help avoid the complications of type 2 diabetes. He is also hypertensive and takes antihypertensive medications. Due to his chronic conditions, M.S. does not smoke or take alcohol. He also uses glasses for his deteriorating vision. Recently, M.M. suffered a mild myocardial infarction that resolved without complication. His wife helps him ensures strict adherence to medication and healthy lifestyle practices. M.M. also receive immense support from his friends around is neighborhood and from church due to his significant contribution to society. Despite having chronic health conditions, M.M. and well surrounded by his family and friends improving the quality of his life.
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Soap Note


Soap Note

Hind Errajai is a 47 year old male who comes to our facility complaining about having lower abdominal pain accompanied for burning urination for several days. The patient reports that the pain has an intensity of 4/10 on the numerical scale of 0/10, relieve with Tylenol 500mg 2 tabs every 6 hours and irradiate *radiates to the low back.

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He says that he has frequent urge to urinate, he also states that when he goes to urinate is painful. The pain killers Tylenol?? have been giving him a temporary solution relief but have not given him a lasting solution. The patient denies presence of hematuria or penile discharge, denies fevers, vomiting or nausea. CVA Tenderness
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Evidence-Based Practice For Patient-Centered Patient

Evidence-Based Practice For Patient-Centered Patient

Physical and Cognitive Development in Late Adulthood

Concept Map Narrative
A concept map refers to a tool which is observable and vital in showing the planned care of a patient. The suitability associated with concept map is that the treatment team of the patient may evaluate the progress of a given patient which help in establishing changes in the plan in a scenario where the need arises (Flanders, 2018). The concept map was created for Dourine who has European as well as Native American descent and is 40 years. Dourine, a mother of a son eleven weeks old, had been diagnosed with gestational diabetes during pregnancy. Due to this situation, the concept map was planned with the aim of tackling the issue facing Dourine and entailed her education issue, cultural barriers towards comprehending the danger factors affecting Dourine and the involvements to enhance her conformity to the care plan that was prescribed.

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Patient’s Needs and Their Family, and the Manner Those Needs Affect Patient-Centered Concept Map
During the interview, Dourine stated that she was provided with insulin by her gynecologist to regulate blood glucose during pregnancy.
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