Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

CASE STUDY: Mrs. J is repeatedly asking for a nurse; other patients are complaining, and you simply cannot be available to Mrs. J for long periods. Considering the setting and …

01/10/2020 Client: murali Deadline: 7 Days

The Omnibus Budget Reconciliation Act (OBRA), also known as the Nursing Home Reform Act of 1987, has dramatically improved the quality of care in the nursing home over the last twenty years by setting forth federal standards of how care should be provided to residents. 


This Act is interpreted with the U.S. Code of Federal Regulations (42 CFR Part 483). Such improvements include less use of antipsychotic drugs, a reduction in chemical and physical restraint use, and a reduction in inappropriate use of indwelling urinary catheters.


Mandates


The quality of care mandates contained within OBRA, and the regulations, require that a nursing home 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. 


In order to participate in Medicare and Medicaid programs, nursing homes must be in compliance with the federal requirements for nursing homes.


The mandates of OBRA are regarded in the nursing home setting to represent minimum accepted standards of care. The failure of a nursing home to comply with the OBRA quality of care mandates in caring for a resident represents a failure to exercise the degree of reasonable care and skill that should be expected.


Penalties


The Indiana State Department of Health is responsible for ensuring that nursing homes follow these mandates through the state survey process. The Department of Health and Human Services (DHHS) and the states may apply penalties against nursing homes for failure to meet the minimum standard of care as defined in the OBRA regulations. 


Such penalties may include fines, appointment of administrative consultants to run the nursing home while deficiencies are remedied, and even closure of a nursing home.



  • Residents must be assessed to identify their medical problems and their abilities to perform basic self-care activities. The DHHS established a uniform data set, referred to as the minimum data set (MDS), to document this assessment.

  • The nursing home is responsible for the safety of each resident. This includes being responsible for orders written by the resident’s primary physician or other medical provider. If the physician writes an order that does not comply with the federal regulations, the nursing home is responsible for making sure the physician changes such order. The mere presence of a physician’s inappropriately written order does not absolve the nursing home of responsibility in providing safe care.

  • Provide services that will enhance each resident's quality of life to its fullest (42 CFR §483.15).

  • Maintain the dignity and respect of each resident (42 CFR §483.15).

  • Develop a comprehensive care plan for each resident (42 CFR §483.20).

  • Conduct a comprehensive and accurate assessment of each resident's overall health upon admission and at each required interval (42 CFR §483.20).

  • Prevent a decline in activity of daily living (ADL) activities, including the ability to eat, toilet, bathe and walk. Staff must provide for ADL care when necessary (42 CFR §483.25).

  • Prevent the development of pressure sores, and if a resident has pressure sores, provide the necessary treatment and services to promote healing, prevent infection, and prevent new sores from developing (42 CFR §483.25).

  • Provide appropriate care to those who have urinary incontinence and restore bladder function if possible. This also includes only using urinary catheters when appropriate as outlined in the regulations to prevent adverse consequences related to such use (42 CFR §483.25).

  • Prevent accidents, including falls, accidental poisonings and other incidents that could cause injuries (42 CFR §483.25).

  • Maintain adequate nutrition to prevent unnecessary weight loss (42 CFR §483.25).

  • Provide each resident with sufficient fluid intake to prevent dehydration (42 CFR §483.25).

  • Ensure that residents are free from significant medication errors (42 CFR §483.25).

  • Have sufficient nursing staff (42 CFR §483.30).

  • Ensure that each resident’s rights to choose activities, schedules, and health care are maintained (42 CFR §483.40).

  • Provide pharmaceutical (medication) services to appropriately meet the physical and psychological needs of each resident (42 CFR §483.60).

  • Maintain accurate, complete, and easily accessible clinical records for each resident (42 CFR §483.75).


CASE STUDY: Mrs. J is repeatedly asking for a nurse; other patients are complaining, and you simply cannot be available to Mrs. J for long periods.  Considering the setting and the OBRA guidelines, what would you do to manage the situation?

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Instant Assignments
High Quality Assignments
Financial Hub
Solution Provider
Helping Hand
Essay & Assignment Help
Writer Writer Name Offer Chat
Instant Assignments

ONLINE

Instant Assignments

Good day dear client, I am a full-time freelance writer with years of experience. My strongest strengths are strong dedication to duty, reliability, quality and excellence. I am going to do an outstanding job for you, kindly PM me and let us commence. Thank you so much in anticipation of your positive response. Thank you very much.

$35 Chat With Writer
High Quality Assignments

ONLINE

High Quality Assignments

With an extensive experience of over 10 years of writing and editing, I promise to meet or exceed your expectations. The days of automated, copied, plagiarized, and unethically optimized content are long gone. Today, you need engaging, well-researched, and optimized content that serves your SEO purpose and boosts your website ranking in the search engines. Not only this, you need EXCELLENT content that leaves a lasting impression on prospective customers and gives you an edge over the competition. This is exactly what I do.

$35 Chat With Writer
Financial Hub

ONLINE

Financial Hub

Hey, I have gone through your job posting and become very much interested in working with you.I can deliver professional content as per your requirements. I am a multi-skilled person with sound proficiency in the English language for being a native writer who worked on several similar projects of content writing and can deliver quality content to tight deadlines. I am available for both online and offline writing jobs with the promise of offering an incredibly responsive and supreme level of customer service. Thanks!

$35 Chat With Writer
Solution Provider

ONLINE

Solution Provider

I am an experienced writer who will be able to create the quality articles/blogs that you require for your website. My work is compelling enough that I am immediately able to engage the interest of the reader. I do not need much in the way of assistance; all you have to do is give me a title or topic. I include embedded hyperlinks as a standard feature in all my articles/blogs. I can also use SEO keywords if provided without any extra cost. No matter what the topic is, your articles/blogs will be entertaining and immensely readable. I take immense pride in my professionalism and ghost-writing technique. Thank you,

$35 Chat With Writer
Helping Hand

ONLINE

Helping Hand

Hello, I an ranked top 10 freelancers in academic and contents writing. I can write and updated your personal statement with great quality and free of plagiarism as I am a master writer with 5 years experience in similar ps and research writing projects. Kindly send me more information about your project. You can award me any time as I am ready to start your project curiously. Waiting for your positive response. Thank you!

$35 Chat With Writer
Essay & Assignment Help

ONLINE

Essay & Assignment Help

I have a Master’s degree and experience of more than 5 years in this industry, I have worked on several similar projects of Research writing, Academic writing & Business writing and can deliver A+ quality writing even to Short Deadlines. I have successfully completed more than 2100+ projects on different websites for respective clients. I can generally write 10-15 pages daily. I am interested to hear more about the project and about the subject matter of the writing. I will deliver Premium quality work without Plagiarism at less price and time. Get quality work by awarding this project to me, I look forward to getting started for you as soon as possible. Thanks!

$35 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Coriolis effect lab answers - Leadership and conflict management presentation soc 110 - Unisuper complying fund letter - Develop a promotional message - American red cross financial information - Project crashing and resource leveling - What does caesar's will say - History 100-45 History of the United States to 1877 - Change selected cell to 20pt in excel - Ideality factor for silicon diode - Best critical analysis essay - InfoTech in a Global Economy - Norwegian driver's license number - Budgeted manufacturing overhead rate - Dark sky percussion audition packet - Coates hire mt thorley - How to draw a crime scene sketch - List the four possible subshells in the quantum-mechanical model. - Equivalence point precipitation titration - Discussion Question(MK) - Media Proposal - Borderline personality disorder - Air force cadets uniform - electronic systems in regards to health care - Daikin microtech iii bacnet - Research Paper - Cultural effects theory media - Is graffiti art or vandalism - Somersaults in spring friends of gemini lyrics - Analyze Your Customers - Don't have employment separation certificate - 32a bra size in europe - Water by the spoonful pdf - Hill phoenix refrigeration cases - Crisis Communication Plan - Dc injection braking applications - Seido karate kata list - Spencer's flea market in dover delaware - Exam lesson name writing exam number 700139 - Benchmark evidence based practice project paper on diabetes - Juke box love song analysis - Graduate diploma of psychological science acap - Ds 7732ni i4 16p firmware - Waffle pad vibration isolation - Little giant pump model pmo 650 - BUS 627 FINAL ASSIGNMENT - Tax Homework - Java program to print odd numbers from 1 to n - Is 57 a prime number - Organizes and codes patient records gathers statistical data - Crows feet paint defect - Meet a muslim - Negative reinforcement classroom examples - State the name of the property illustrated - Critical analysis - Build your own sten gun - Deepdene medical surgery saline - Keith rn case study answers pdf - How can persistently weak currencies be stabilized - Maximum supply voltage for a 74ls08 - Administer cure or destroy lazarus machine - Https mycampus phoenix edu login asp - Is not compatible with this version of packet tracer - How to draw maximum ride characters - Research Proposal Draft - Interest rate swap volatility - Our fear of immigrants - Define indexing in milling machine - Centralized it departments no longer produce reams of printed - Trends & issues in executive management for health care administrators - Do you believe Artificial Intelligence or Machine Learning is the future of cybersecurity? Explain why or why not. - Phineas t barnum public relations - Prizm and esri's tapestry are two of the most widely used tools for _______ segmentation. - City west water new connection - Why was sonnet 18 written - Crytographic Attacks - How many degrees of freedom do monatomic gases have - Neutral alignment - Boolean algebra sop to pos conversion - Hcs 325 organizational structure presentation - Persuasive speech on mental health - Pepsico income statement 2015 - Why do cheerleaders shrug their shoulders - Philosophy W5-Rough Draft of Signature Assignment - Grab for the gaudy bauble - Lasswade high school blazers - How is the claim management dialog box displayed in medisoft - Aerobic respiration flow chart - Joint mobilization grades 1 5 - Cirque du soleil orlando death - Darrick wood infant school - C1 - Need some questions answered from INTRO TO STATS - 1413 the northern road bringelly - Belmore boy high school - Alternative Analysis Case study - Dispositional biological and evolutionary theory newspaper article - Nike inc cost of capital case study - Cecilia seduce a pancho barraza cast - Module 4 - Case Assignment 3