Types Of Skilled Nursing Care In Nursing Homes

If your senior loved one is in a nursing home, the care that he or she receives may or may not be characterized as skilled nursing care. Examples of non-skilled nursing care including the administration of most oral medications and helping the individual with his or her activities of daily living such as bathing, grooming, dressing, and eating. Here are some examples of skilled nursing care that your loved one may receive while in a long-term care facility. 

Wound Care

Surgical wound care is considered skilled nursing care, as is decubitus ulcer care. Also known as bedsores or pressure ulcers, decubitus ulcers are staged. A minor area of redness on the skin may be categorized as a Stage I ulcer, while deep tissue wounds affecting the ligaments and bones are categorized as Stage IV.

A Stage IV decubitus ulcer may require skin grafts or other surgeries and may develop severe infections that may be resistant to antibiotic therapy. A Stage IV pressure ulcer may also lead to a disabling bone infection known as osteomyelitis, and in some cases, may lead to amputation if the ulcer is on a limb. If your loved one has a complex wound, he or she may require more frequent monitoring, dressing changes, and wound cultures to determine which type of microorganism is present in an infected wound.

Intravenous Therapy

Intravenous therapy is also considered a skilled nursing treatment. To initiative intravenous therapy, the nurse needs to access the appropriate vein and insert the needle properly so that the medication or fluids flow into the vein instead of the subcutaneous tissue.

In addition to this, different medications and fluids may need to be added throughout the day. The access site also needs to be monitored for signs of infection such as redness, inflammation, drainage, and an increase in warmth.

A dressing may also be used to cover the access area. After the intravenous treatment has been discontinued by the physician, the nurse will need to remove the needle and then put a dressing or bandage over the area. 

If your loved one is in a nursing home and has decubitus ulcers or surgical wounds or is receiving intravenous therapy, talk to the nursing staff if you have questions regarding his or her treatment or therapies. If needed, you may be referred to your loved one's physician, who can address your concerns about the individual's prognosis and medical care plan.


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Tips for Preventing Depression in a Nursing Home

It can be a huge shock to your loved one as they transition from independent living to life in a nursing home. In some people, this can lead to depression. However, there are many things that you, as their family, can do to prevent this from happening. My name is Brittney and I know this all to well. My father transitioned into a nursing home and he began to slide into depression. However, thanks to amazing caregivers and resources on the Internet, we were able to help him live a happy life. I created this website with the hopes of helping others learn what helped us to prevent the same thing from happening to their family.