Admissions and Discharge
Before you are admitted to our facility, an admissions counselor will call you to obtain preliminary information, provide important information regarding your hospital stay and answer your questions. Your doctor also may schedule routine medical tests, such as laboratory tests or X-rays, before your hospitalization. Other routine tests may be done on the day of your admission.
Brightmoor Nursing Home Team
When admitted to the facility, your care will be provided by a team of health care professionals trained to meet your specific medical needs. The following is a brief description of some facility staff members.
A social worker in a long-term care facility helps the person who is entering a facility make the transition from a previous living environment to life in an institutional setting while meeting the social/emotional comfort needs of that resident. Once the resident is established, the social worker assures the resident's continuing needs are met and that the person is given the opportunity to participate in planning for continued care in the facility, transfer, or discharge back into the community. The role of the social worker in a long-term care facility is to enable each individual to function at the highest possible level of social and emotional wellness. Although the resident is the main focus, it should be noted that much of the social worker’s time may be spent working with the family. To assure positive well-being for the resident, social workers should adopt a holistic perspective by recognizing the dynamic interplay of social, psychological, physical, and spiritual well-being. The social worker must constantly be aware of factors which may have a negative impact upon a resident's well-being and, if possible, prevent this from occurring. Further, the social worker must interact with all levels of staff within the facility as well as the residents and their families and friends; this is essential to enhancing the opportunity for the resident's positive life experience while in a long-term care facility.
Your doctor, sometimes referred to as an attending physician, is responsible for managing your care. If necessary, your doctor may consult with other specialists. As a result, you receive the benefit of having a number of doctors working together with shared concerns for your well-being.
• Attending physicians are members of the team that determine and supervise your medical care. Attending physicians also teach other doctors to care for patients. You will be assigned an attending physician. They change periodically, so please ask your nurse or doctor about the scheduled rotation of doctors on your child's unit.
• Fellows are physicians who have completed their residency training and are now receiving advanced training in a specialty. Fellows work with an attending physician and help teach interns and residents under the guidance of attending physicians.
Our nursing staff coordinates and provides care. Many of our nurses have received advanced training in specialized fields.
• Charge nurses are responsible for overseeing the nursing care on your hospital unit during a shift.
• Clinical nurse specialists are registered nurses with advanced education in special areas. These nurses help coordinate your care.
• Nurse practitioners are registered nurses with advanced education in special areas. These nurses have training and skills in assessment, physical diagnosis and managing health needs in their specialty areas.
• Patient care managers are responsible for supervising all nursing care on every shift on your unit.
In addition to our nursing staff, other health professionals help to ensure you receive the highest quality of care.
• Patient care assistants are trained to help nurses care for you. They work under the supervision of a nurse and provide routine care activities but are unable to give medications.
• Patient support assistants help units stay clean and equipped.
• Unit coordinators provide clerical support, directions and answer questions for families and visitors.
If you need skilled nursing care or physical therapy at home, our Case Management/Social Services will help you arrange this service if medically necessary. We also will arrange ongoing hospitalization at a skilled nursing facility or rehabilitation hospital if needed.
If you are not physically able to return home when you are ready to leave the hospital, you may require acute rehabilitation or skilled nursing care in another facility. Our Case Management staff can assist you with the process.
Patient Relations provides services to ensure that your experience at Brightmoor Nursing Center is a good one. If you or a family member has a question or concern about your hospital stay, please let us know. We suggest you first discuss your concerns with your nurse, department manager and your doctor. If your concern remains unresolved, the Patient Relations staff or a nursing supervisor are available to help you reach a resolution or provide more information.
Assessment and Planning
One of the initial tasks of a nursing home social worker involves meeting with newly-admitted clients to perform assessments. An assessment helps give you an overall picture of the client's life situation, taking into account all of the psychological, social and biological factors that may have an impact on the client's health and well-being. For example, you'll gather information about the client's family history and background, physical and mental health history and previous and current social support systems. In addition, you'll also be a member of an interdisciplinary team consisting of other health professionals. You'll discuss your assessment with the team and collaborate to come up with a treatment plan that addresses all of the client's identified needs.
Most residents of nursing homes are physically frail senior citizens with limited mobility, although some are also patients who are recovering from mental or physical illnesses. In addition, many residents lack outside social support from family members or friends, due to changes in life circumstances, illness, or even disinterest. This means that some residents may have an increased risk of social isolation and developing mental health disorders like depression. One way that a nursing home social worker provides assistance is through supportive counseling and social support. Making the transition from independent living to supported living can be extremely difficult. Social workers help their clients make this adjustment, taking into account social, psychological and emotional needs. If family members are involved, you might also provide supportive counseling to help them cope with and adjust to the changes in their loved one's life.
Many times, a nursing home social worker is responsible for leading group therapy sessions for residents. The topics of the therapy sessions may vary, but usually focus on adjustment, support, socialization, stimulation, understanding and information. For example, you might lead informal coffee groups that involve discussions about different topics, like movies, art or other topics of general interest, or help new residents acclimate to life in the nursing home by leading adjustment groups. Sometimes, you might be asked to come up with new group topics to help provide a stimulating and nurturing environment for the residents.
As with any other social work job, you'll also have to perform administrative duties. In addition to completing assessments and treatment plans, your additional administrative responsibilities might range from maintaining case files, completing individual and group counseling notes, compiling and updating referral lists, participating in quality assurance meetings or team support meetings and staying up-to-date with changes to governmental regulations regarding nursing home policies.