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  Partner: UNT Libraries
 Department: Department of Applied Gerontology
 Degree Discipline: Administration of Long-Term Care and Retirement Facilities
Advance Directives in Texas: Advance Directives Act of 1999

Advance Directives in Texas: Advance Directives Act of 1999

Date: December 2000
Creator: Watson, Robert J.
Description: Growth in the number of people living to very old age and progress in health care technology are creating important new challenges for our society. Among them is modern medicine's ability to extend some people's lives beyond the point where they are capable of making decisions or expressing their needs and desires, resulting in the very complex problem of knowing when to allow a person to die. In part, advance directives were created to solve this problem. Texas has been busy developing changes to existing state laws in an effort to create more "user-friendly" directives. This paper explores the history of advance directives, and discusses the details and nuances of the Texas Advance Directives Act of 1999.
Contributing Partner: UNT Libraries
Disaster Preparedness: A Procedure Manual for a Nursing Home

Disaster Preparedness: A Procedure Manual for a Nursing Home

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Date: May 2000
Creator: Reimer, Carmen Schmidt
Description: Disaster or emergency situations have the potential for serious impact on the safety and security of both residents and staff in a nursing home. Furthermore, federal and state laws require that all nursing facilities be prepared in case of an emergency or disaster. The first part of this document is an introduction and rationale for the development of a nursing home disaster plan. The second part is a procedure manual developed for a nursing home in Oklahoma, outlining emergency actions and recovery procedures for various types of disasters, followed by a list of emergency telephone contacts of key personnel and services both inside and outside the nursing facility.
Contributing Partner: UNT Libraries
The Impact of the Balanced Budget Act of 1997 on the Home Health Benefit

The Impact of the Balanced Budget Act of 1997 on the Home Health Benefit

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Date: May 2000
Creator: Coker, Joseph E.
Description: Widespread concern about the rapid growth of Medicare spending in recent years initiated a legislative response that resulted in the Balanced Budget Act of 1997. The effects of the BBA were far reaching and created shock waves throughout the health care industry. This study presents background information on the history of the Medicare home health benefit, enumerates specific provisions and goals of the BBA of 1997, examines how the BBA has changed the delivery of Medicare home health services, and proposes survival strategies for home health care providers.
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The Meaning of Elder Abuse

The Meaning of Elder Abuse

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Date: May 2000
Creator: Achilli, Raye
Description: Elder abuse first received national attention in 1980, as the subject of a congressional investigation. Now, 20 years later, establishing successful strategies of identification, subsequent intervention, and prevention of abuse is of paramount importance; but progress toward this goal is hindered by lack of consensus as to the definition of elder abuse, and the use of vague, confusing, and sometimes contradictory terms in its discussion. In this paper, both social research and professional approaches and legal approaches to the definition of elder abuse are surveyed, as are definitions formulated for the National Elder Abuse Incidence Study conducted by the National Center on Elder Abuse. The continuing need for a universal or standard definition is emphasized.
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Resident Care Policies in an Administrative Policy Manual for Texas Long-Term Care Facilities

Resident Care Policies in an Administrative Policy Manual for Texas Long-Term Care Facilities

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Date: May 2001
Creator: Arnwine, Hilary Campbell
Description: Federal and state regulations require that licensed long-term care facilities have policies for every resident-related topic. Long-term care administrators must plan, implement, and evaluate resident care policies that can be easily personalized to the needs of the specific facility's population. Part 1 of this paper is an overview of resident policies, covering admission, physician services, transfers and discharges, nursing services, restraints, abuse and neglect, pharmaceutical services, dietary services, clinical records, therapeutic recreation services, and social services. Part 2 presents the policies themselves, ready for use by Texas long-term care administrators as part of their facility's administrative policy manual.
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Resident Profile and Considerations for the Development of a Strategic Plan

Resident Profile and Considerations for the Development of a Strategic Plan

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Date: May 2000
Creator: Burgos, Dalila
Description: The graying of America will have implications for all areas of society, especially the delivery of long-term care services. Many older individuals are aging in place, a phenomenon that is apparent at Dickinson Place, a church-sponsored low-income housing property for the elderly in Dallas, Texas, where the average age of residents has risen from 65 in the early 1970s to 78 in 1999. This change has prompted the board of directors to review the facility's mission, its physical plant, and the services it provides for strategic planning purposes, to ensure that Dickinson Place can continue to meet the needs of its residents both now and in the future.
Contributing Partner: UNT Libraries