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 residents 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 physicians inappropriately written order does not absolve the nursing home of responsibility in providing safe care. Provide services that will enhance each residents 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 residents 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 residents 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?
Why Choose Us
High Quality, 100% Original and Well-Researched Papers
HireProWriter always ensure that our writers follow all your instructions precisely. You can pick your academic level: high school, college/university or professional, and we will assign a writer who much your field or discipline.
Professional and Experienced Academic Writers
Our Company has a team of professional writers with experience in business articles and academic papers. The majority are native speakers and capable to tackle any task for which you need assistance.
Free Unlimited Revisions
Do you think we missed something on your paper? No worries, send your order for a free revision. We give you up to 10 days to submit the order for review after you have received the final document. You can do this yourself after logging in to your account or get help from our support.
Prompt Delivery and 100% Money-Back-Guarantee
All papers are always delivered on time. In case we need an extension to master your paper, we will contact you on time regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & Confidential
100% Plagiarism free work! We use premium writing tools to check plagiarism. Our professional editors carefully review all quotations in the text. Besides, we guarantee maximum confidentiality in all of our services.
Customer Support 24/7
Our support team is available 24/7. We are dedicated to giving the best customer experience. Feel free to get in touch any time for assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Why work on your paper all night? While you can sleep tight, as we cover you back. HireProWriter offer all kinds of writing services.
No matter what kind of academic assistance you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at a reasonable cost. HireProWriter take care of all your academic paper needs with a 24/7 customer care support system.
Admission and Business Papers
An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You don't have to worry about writing a presentable College admission essay, You can be rest assurred that through our services we will write the best admission essay for you.
Editing and Proofreading
Our Team (academic writers and editors) make the necessary adjustments to your essay/paper so that it is polished. Besides, we format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.
We value our clients feedback, our system is designed to ensure that we deliver quality work through collaboration of our team and clients. In case you need an improvement in your paper, you are free to request for revision. For such case, your paper will be checked by the writer or assigned to an editor. Your Satisfaction is our Concern!