Challenges in transitioning to an LTCH and maintaining a sense of "home" or family
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Concepts in the definition of community
Social networks
Social networks refer to multiplex ties that connect individuals. Social networks also refer to services and agencies that include residents that form part of services. Therefore, every individual belongs to their social network, which comprises friends and family members, whether online or offline. A social network has pre-established individual relationships where the links happen one at a time.
Role identities
A role refers to a design of conduct and viewpoint, which provides the driving force for individuals to withstand a recurrent set of occurrences. It can also be the behavior that links with one's position within a community by way of people relating to one another. The social network of people defines their roles. For instance, the expectation the "community" has on older adults concerning their interests, as well as their behaviors, defines the roles of older adults. On the negative, role identities might be in relationship with reduced competence, reduced ability to adjust to changes in life, and poverty.
Sharing
The concept of sharing refers to individuals going through similar experiences, historical patterns, and life goals. When people have opportunities to engage in life as one, they tend to go through similar experiences and history. The history shared can be personal, a community founded, or cultural. Individuals will only share goals if they have specific objectives in common that they aspire to achieve.
EXAM 2:
Challenges in transitioning to an LTCH and maintaining a sense of "home" or family
Policies like the LTCH Acts [2007] have continued to influence care in the institutions through biomedical and market-oriented approaches, which leaves out new residents as well as their families from the planning process regarding care. That has, for many years, denied the participants in LTCH an opportunity to share and express their needs. As a result, the staff in LTCH have few opportunities to interact with the participants and family members in a manner that encourages knowing one another.
Strategies in transitioning to an LTCH and maintaining a sense of "home" or family
Relationship-centered care in LTCH is a fundamental framework in improving the outcomes of the facilities. That approach places focus on the primary role of relationships among registered nurses, patients, residents, or clients subject to the setting, the neighborhood, family, as well as other practitioners in offering high-quality care and enhancing health outcomes. Relationship-centered care is founded on principles of the person-hood of all the participants and by acknowledging that emotions and effect are fundamental components in relationships within the LTCH. That strategy also stands on the principle that the relationship in LTCH happens in the context of reciprocated influence and that it is morally valuable to form and maintain authentic relationships in health care.
EXAM 3:
Factors which led to participants' involvement with the community
One of the factors was the motivation the participants were getting as they worked together. That was according to the fact that people are naturally willing to work together as they gain a sense of community and acknowledge the benefits of community involvement.
The other factor was social and religious as well as traditional responsibilities for mutual benefits. That way, the participant's participation was genuine as they perceived it as an opportunity to better an individual's own life as well as for the community in general.
Challenges to community involvement among participants
Long-Term Care Settings face many factors that hinder their participants' involvement in the community. These factors link to the predominant culture within the Long-Term Care Settings. The homes are similar to total institutions, where most details of daily life take place within one confinement. That denies or limits the participants ' in accessing the outer world. The attempt to handle the needs of the community like older adults in the facility by a clearly defined supervisory staff characterizes total institutions. The organizations are thus bureaucratic with tight structures. In the environment, care for the participants is routine and regimented with limited flexibility in the manner in which the participants receive care. The assumption is that the most cost-effective way to meet the needs of the participants is to meet such needs solely within the confinement of the facility. Like total institutions, long-Term Care Settings are closed environments, which limit the participants' freedom to choose and control their lives. The care-givers rarely involve them in decision-making concerning care. That disintegrates the participant's involvement in the community, as well as disconnects them from their past life.
How an institution can shape the relationship between community participants and the outside community
That happens by the structuring of the roles among the healthcare professionals to ensure "roles" are task-oriented. Every staff has a task based on the level of education, experience, skills as well as job classification. That is achievable through the development of strong relationships with the residents and their families through repeated interactions.