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Health Care Reform and LTC: Part II
October 15, 2009 2:56 PM by Carol Kleinman
Issues of long-term care have dominated public concern since President Clinton proposed his health care reform plan in 1993. Efforts towards a universal long-term care policy address priority areas of aging and disability in various ways such as the use Read More...
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Health Care and the Common Good
August 31, 2009 12:58 PM by Carol Kleinman
So, the basic debate in the U.S. over healthcare is not really about costs or the freedom to choose one's own doctor. The facts are clear: The World Health Organization rates the U.S. 37 th (!) in healthcare while we spend a much higher percentage of Read More...
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Is Health Care a Right or a Privilege? Part 1 - Pro
July 20, 2009 3:03 PM by Carol Kleinman
Once upon a time before the Military-Industrial-Government Complex, Americans were mostly rural and relied on direct sources of food, water, fuel, and shelter. Personal involvement in and responsibility for those needs has decreased with the transformation Read More...
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Pet Therapy Part IV: More Therapeutic Value
March 11, 2009 10:41 AM by Carol Kleinman
A dog can draw out people who have problems communicating. Dogs communicate on an instinctual, nonverbal level that is easier to relate to by people who have difficulty communicating verbally. It may take days to engage certain patients or residents in Read More...
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Pet Therapy Part III: Therapeutic Value
February 27, 2009 11:11 AM by Carol Kleinman
The therapeutic use of pets is considered to be a sensory modulation approach. The integration of animal-assisted therapy into practice has been discussed in nursing, psychology, and rehabilitation literature, as well as others. However, it has only in Read More...
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The Experience of Aging, Part VIII - Final Message
January 27, 2009 2:50 PM by Carol Kleinman
This is a story I have read many times that I thought I would share in case you have not heard it. It provides an important message about the importance of a positive attitude and a spirit of inquiry. The first day of school our professor introduced himself Read More...
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The Experience of Aging, Part VII - The Eden Alternative
January 7, 2009 10:54 AM by Carol Kleinman
Long-term care has been considered many not to have evolved as quickly or as profoundly as other points along the health care continuum. However, many models have been and are continuing to be developed that provide a radically new way of viewing the Read More...
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The Experience of Aging, Part VI - Intergenerational and Aging Training
December 23, 2008 1:42 PM by Carol Kleinman
The introduction to the Macklin Intergenerational Institute on Aging states: "The Macklin Intergenerational Institute provides compassionate care and spontaneous exchanges that result in contact between and among the generations. It's called intergenerational Read More...
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The Experience of Aging, Part V - Overcoming Isolation
December 11, 2008 1:30 PM by Carol Kleinman
It has been said that touch can reach through isolation and help alleviate feelings of loneliness and separation. Touch becomes especially important for those confined to health care institutions who may receive few visitors from the outside world. Though Read More...
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The Experience of Aging, Part IV - Depression and Stress
December 5, 2008 3:13 PM by Carol Kleinman
Decreased mobility, functional impairment, and multiple losses frequently lead to depression. It has been well established in the literature that the suicide rate among people over 65 is higher than any other age group. For more on this serious issue, Read More...
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The Experience of Aging, Part III - Loss of Independence
November 20, 2008 3:52 PM by Carol Kleinman
The move into a health care facility is a major lifestyle change for the resident as well as for his or her family. It signals a significant loss of independence and may involve additional losses, including giving up the home that may have been a family Read More...
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Nursing Leadership and Education, Part II
September 26, 2008 11:43 AM by Carol Kleinman
Two issues must be considered regarding nurse manager and director role preparation. First, given the importance of the role and the competencies required for success, nursing and health care administrators must support the possession or acquisition of Read More...
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Part 3: Fiscal reality and length of stay
April 18, 2008 12:07 PM by Carol Kleinman
As I reflect upon the massive changes in health care in the last couple of decades, one of the most profound relates to our focus on length of stay and the ever-present need to reduce hospitals stays until they are so short I wonder sometimes how patients Read More...
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Noncompliance
March 7, 2008 3:09 PM by Carol Kleinman
Few situations challenge and frustrate us as the need to deal with residents who are noncompliant with treatment protocols. In a world in which health care dollars are increasingly scarce, we must carefully allocate the resources we have to those who Read More...
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Nurse Leaders
November 12, 2007 3:29 PM by Carol Kleinman
An organization is only as strong as its leadership and in long-term care facilities all registered nurses are leaders. Some are directors or assistant directors of nursing, others are nurse managers and supervisors, some lead a team providing daily care Read More...
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