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

English

05/10/2020 Client: m166 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).






ANSWER THE CASE STUDY BELOW


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
Calculation Guru
Assignments Hut
Financial Hub
High Quality Assignments
Solution Provider
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.

$70 Chat With Writer
Calculation Guru

ONLINE

Calculation Guru

I see that your standard of work is to get content for articles. Well, you are in the right place because I am a professional content writer holding a PhD. in English, as well as having immense experience in writing articles for a vast variety of niches and category such as newest trends, health issues, entertainment, technology, etc and I will make sure your article has all the key pointers and relevant information, Pros, Cons and basically all the information that a perfect article needs with good research. Your article is guaranteed to be appealing, attractive, engaging, original and passed through Copyscape for the audience so once they start reading they keep asking for more and stay interested.

$70 Chat With Writer
Assignments Hut

ONLINE

Assignments Hut

Hey, I can write about your given topic according to the provided requirements. I have a few more questions to ask as if there is any specific instructions or deadline issue. I have already completed more than 250 academic papers, articles, and technical articles. I can provide you samples. I believe my capabilities would be perfect for your project. I can finish this job within the necessary interval. I have four years of experience in this field. If you want to give me the project I had be very happy to discuss this further and get started for you as soon as possible.

$70 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!

$70 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.

$70 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,

$70 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

Simon drew spot the musical instrument answers - Discussion question answer each question in the sentence 100 words - 2/23 ferguson avenue labrador - Calcium chloride and potassium carbonate equation - In the footsteps of jesus andrew chinn - Meraki sd-wan design guide - Length of oleic acid molecule - Starbucks training and development - Ronnie lui optometrist sunnybank - Hitotsu futatsu mittsu yottsu itsutsu muttsu - C phy eye diagram - Seven mysteries of the kingdom of heaven - Eva bossenberger boone nc - Nordstrom case study - Easy 4 questions - Data entry sample paper - Is art a waste of time rhys southan - Shutterfly business model - Ana luisa michelle choi - Help - Short essay - Periodic table of food - Control joints in plasterboard walls - Preparation and distillation of cyclohexene - Max Stirner’s philosophy - Theme of first they came - Ees rankine cycle example - Documentation for below Question - Shell helix ultra extra 5w30 - Discussion Board - Residential summer string camp - Transition to the Nursing profession - Human culture and expression - Hfma point of service collections benchmark - Erp production planning module ppt - What is Public Health? - Silver oak universal school notes - Agile project management handbook - Discussion Board: Adult Learners - Romeo and juliet newspaper assignment - Aicpa code of professional conduct four general standards - Relationship between psychology and law - Where does orographic rainfall occur in australia - Sociology questions DQ7 - Implications of leading in a changing global business environment - Marketing myopia article summary - Where did edward hargraves find gold - Umuc haircuts stage 1 - Industries - Case Study - statistical Analysis - Stole fire from mount olympus - Financial markets and institutions 7th edition multiple choice questions - Aso4 3- resonance structure - Introduction to sociology seagull 11th edition pdf - Wheeled coach case study solution - 685 bus timetable katoomba - Human Resources Managemen - The bridge frame consists of three segments - Brawn behind the pawn book - Manor house lane surgery - A & P II #4 - Writing Assignment - WEEK8-Executive Program Practical Connection Assignment-Enterprise Risk Management - How to calculate cumulative repricing gap - Admissions comsats edu pk - Presented below are three independent situations - Week 2 Gerontology - Datamining essay and discussion - Grading cup to disc ratio - Compressor burnout cleanup procedure - Ut austin biomedical engineering - Julian of norwich revelations of divine love sparknotes - One stop sensory shop - Balanced and unbalanced forces - Hudl camera not working - What is the central conflict of this story - Cell size lab student write up and data sheet - Writing assignment - Costco 6 rights of merchandising - A feasible solution violates at least one of the constraints - Peer response - The caption indicates a worksheet group - Faraday's law worksheet with answers - Two causes of the great depression - Relinquish spa north druid hills - Qnt 561 signature assignment consumer food - Podium monumental steps sydney opera house - Solar system model rubric - Story about something strange - Rolfe et al 2001 - Simple machines grade 4 - Locating the epicenter of an earthquake lab answer key - Informative essay on michael jordan - Variable resistor in multisim - Sample nursing family case study - 68 yo with pneumonia - Benner novice to expert - Northern kentucky university psych np - Convenience form in cavity preparation - Bubble sort comparison calculator