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St. Luke's Nursing Home

PLANNED CHANGE AT ST. LUKE'S NURSING HOME

The St. Luke's Nursing Home is a 200bed facility located in a metropolitan service area of approximately 200 thousand persons. The funding for the facility is derived from both public and private sources.

The administration of the St. Luke's Nursing Home is confronted with a critical need to reduce operating costs. At the same time, however, the institution was criticized during a recent state inspection for providing unacceptable levels of patient care in many instances. The administration, thus, feels that it is on the horns of a dilemma.

There exists a widespread recognition in the early1990s, that changes in health care delivery practices are essential, if the cost of services delivery is to be controlled, while either maintaining or improving care levels (DenteCassidy, 1992, pp. 4345). Such changes are of particular relevance when special care services, such as mental health, are involved (Merwin and Fox, 1992, pp. 139148). A contemporary movement in many contemporary health care services institutions is a move toward a more patientfocused care practice (Brider, 1992, pp. 2633). Among other things, patientfocused care requires a decentralization of authority and action. Critical in this context is the ending of the oft times rigid lines of practice jurisdiction between health care professionals within an institution. Consistent with contemporary trends, a change to a team concept in the delivery of health care services at the St. Luke's Nursing Home is recommended. A primary care physician typically heads such a team, whether or not it is a formally constituted team (Weinberg, 1988, pp. 69). Many other types of health care professionals and workers, however, will usually be involved in the delivery of health care services in a nursing home environment. In such instances in the early1990s, the delegation of additional responsibilities to nurse practitioners ha...

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St. Luke's Nursing Home. (1969, December 31). In LotsofEssays.com. Retrieved 08:46, March 29, 2024, from https://www.lotsofessays.com/viewpaper/1684566.html