This article describes a brief but efficient nursing facility visit that requires 15 minutes per resident. This methodology was developed from experiences with 450 residents of 45 Colorado facilities. Physicians have resisted visiting nursing facilities in the past claiming busy workloads, too much paperwork and not enough reimbursement, and poor image of nursing facility practitioners. Important problems can be missed if the visit is too brief and superficial. Goals of a facility visit should be to interview the resident to gain information, to talk with nurses and therapists, to look for previously unidentified medical issues, to monitor therapy and medication, to ensure regulatory compliance, and to verify decisions made by telephone.
Documentation is important in establishing a care plan for each resident.
Miller, Maura Farrell . Physically Aggressive Behavior During Hygienic Care . Quality improvement and a recognition of resident autonomy also contribute to a desire to reduce restraints and to a development of interventions to deal with resident behavioral disorders. This study was designed to explore the effects that this aggressive behavior has on staff personally and how their nursing practice is affected. Thirty nursing staff from one long term care dementia special care unit participated in the study.