Hi, need to submit a 2500 words paper on the topic Quality improvement in long term care.

Hi, need to submit a 2500 words paper on the topic Quality improvement in long term care. 40% of the residents require assistance with feeding. The high numbers of non-ambulatory patients put this facility put it among only 10% in the state.

On May 10, 2004 the facility was investigated for a complaint which resulted in a substandard quality of care under Quality Indicator number 4, a prevalence of depression symptoms that also include two of the following. negative comments from residents, agitation or withdrawal, unpleasant mode upon waking, suicidal, weight loss or recurring thoughts of death.

I choose the number 4 Quality Indicator for Emotional/Behavior Patterns due to its effect on quality of life. It may also be the end result of the other deficiencies at the facility, which included a high percentage of indwelling catheters, excessive amounts of medications and lack of assistance with personal care. The Quality Indicators for Emotional/Behavior Patterns of agitation and suicide could be signs of overdose of antidepressant medications. Sadness and withdrawal might be symptoms of depression as well as thoughts of death or weight loss, which needs to be treated. Depression encompasses both physical and mental health and can alter the responsiveness to nutritional and physical therapy as well as medical treatments. This deficiency has a potential for more than minimal harm.