Quality of Care in Adult Day Centers

              The National Adult Day Services Association (NASDA) was formed in 1979. (National Adult Day Services Association, 2012).  There are three types of adult day centers.  These are social, medical/health and specialized.  The social day care center provides meals, recreation and some health-related services.  The medical/health adult day cares consist of social activities, health services and also therapeutic services.  Specialized adult day cares consist of services that are tailored to the needs of the patients, for example, patients suffering from dementia or other forms of developmental disabilities.  Families, relatives or caregivers, usually select a center for their loved-ones based on the care that they need.

            Adult day centers hire professionals that are equipped and capable of providing care to the elderly.  There services are well coordinated and are usually provided in a community-based group setting.  These services are all aimed at providing the best of supervised care in a safe environment. 

These centers are usually open five days a week and some centers even offers services after normal business hours and also on the weekends.  Some of the services that are offered includes: social activities (such as peer-interactions), transportation, meals and snacks (these are catered also for individuals who requires special dietary meals), personal care (assists with toileting, eating and dressing), and therapeutic activities (exercises).

Currently, there are 4,600 adult day centers in the United States, providing care for over 150,000 recipients (NADSA, 2012).  Putting a loved one in a day center gives the caregiver a well deserved break, or perhaps time to work.  However, caution should still be exercised when choosing a center for them.  It is important to choose a center that is safe and secure, has activities that promotes mental enhancement, provides assistance such as bathing, grooming, giving medications on time, taking blood pressure and providing a diet that is nutritious.  An elderly can seek care from an adult center after being discharge from a hospital; it also serves as a form of short term rehabilitation.

These centers are very unique.  It gives the elderly a change to mingle with others, just like themselves and get out of the house for a bit, while extending a break to their caregivers.  The quality of care is up to standards, as it provides reliable support and restore one’s balance in times of need.

 Reference

National Adult Day Services Association. (2012). The National Voice for Adult Day Service Community.  Retrieved from www.nadsa.org/consumers/overview-and-facts & www.nadsa.org/consumers/choosing-a-center

Patient’s Perspective

The perspective of the patient is the most important determinant as to whether an adverse event (AE) has occurred.  This is so because the patient is the one who will be facing serious consequences and side-effects as a result of a clinical trial.  Also, it is the patient that determines the markets’ profits and revenues.  If the patient is unhappy with the services that are rendered, then the hospital or place of care would receive a bad reputation.  Patients will likely go where they find and receive exceptionally great quality of care, products and services.

AE can result in death, serious injuries resulting in handicappers, cancer or even fetal exposure.  If there should ever be a serious clinical trial in AEs patients, it must be reported immediately to the Institutional Review Board (IRB) and also to the sponsor of the program.  Clinical trials that are a result of minor AEs can be sent to the regulatory authority, referencing a summary of what happened to the patient, what precautions were taken and what were the final results.  

It is extremely important that AEs mishaps situations be reported, so that the process of change can occur.  This can take place through patient satisfaction surveys, as it is a great tool of quality improvement for healthcare professionals, who are concern about the patients’ perception.  Oftentimes, AEs can be very traumatic for a patient; therefore healthcare providers should communicate efficiently with patients to come to a quick diagnosis of where things stand.  An apology goes a long way but most times, physicians can be reluctant to admit that a medical error has occurred.  Patients can find comfort knowing that preventative strategies are put in place to avoid another possible occurrence of a clinical error. 

The major reason why physicians do not admit if a mistake has happened is because of a lawsuit.  To prevent it, they stay quiet and try to cover up the mistake.  When faced with an AE, it relevant to be honest about it, instead of pointing fingers or playing the blame game, which only intensifies the matter and cause frustration to the patient and their families.  Managers have to determine through investigations whether a system error has occurred, the policy was available, easily understandable and workable (Reason, 1997).  Physicians and managers have to work together to prevent such system errors.  It is vital to get the patient involved in discussions, regarding their treatment, medications and answer any questions that they may have, so that they can be involved in the decision making process of their care.  Actively participating in these discussions can enhance patient’s results.  

Reference       

Reason, J. (1990). Managing the risks of organizational accidents: Human error. New York: Cambridge University Press.

Quality of Care in Nursing Homes

Long term care is becoming a great need.  Most elders who are unable to care for themselves are entering the realm of long term care facilities.  It can be an entirely new and different experience for them.  Since, they now have someone else in charge of providing everyday care to them.

Elderly are faced with dignity issues such as incontinence and independence.  Their entire day is already planned and set up for them such as, meal times and sleep times.

To uphold the dignity and independence of the elderly things needs to change.  Healthcare providers must ensure and place emphasis on this kind of population.  Instead of focusing simply on extending life, healthcare providers should focus on intensifying the quality of care and preserving the elderly dignity as they become more dependent.

Most elderly families are looking for a long term care facility that has a homely atmosphere.  This will make their love ones feel welcome and engage in purposeful living.  Instead of determining when an elderly should sleep, wake up or eat, how about asking them when they would like to do these things or at least give them some options to choose from.  In the long run they will feel that they have the upper hand and can make some decision regarding their everyday routines. 

Eventually, this will become a competition among long term care facilities, as attributes like those mentioned above will be in demand.  It is the little things that makes someone feels competent and worthwhile.  It is imperative that healthcare facilities treat each patient’s needs and wants separately.  This should bring about different results aiming to suit the patient’s quality of care.

What is Quality?

            Quality means the best product or service that is rendered.  It should be flawless and impeccable.  It should be able to stand out, when being compared to a similar kind.

            Quality in healthcare should basically meet customer expectations.  If the customer is not happy, then it will have a negative impact on the business.  Most individuals are inclined to go where there is superior customer service.  This is where he or she remembers receiving the best quality.  Most times people will return to places that uphold good quality morals.

            Most organizations goals and mission statement, reflects their quality and believe in the care that they are extending to their customers.  Hence, most companies in the healthcare setting are competing for quality of a product or service.  Competitors are making sure that their service stands out when dealing with customers.  Products are also of high quality, which gains customers trust and faithfulness to return for more in the future. 

In addition, many organizations are making an investment by providing training to employees that deal directly with customers.  This is done, so that employees can be fully equipped to provide the utmost quality of attention and care to their customers, either on the phone, face to face communication or through writing a letter.  Since, employees portrays what the company is about, this investment is well worth it.