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The Jewish Home benefits from the expertise of its professional staff through
interdisciplinary teamwork.
Pain Management Team
The Jewish Home staff take pain very seriously, and approach
the management of pain as a team. Activities staff, nursing staff,
social workers, and clergy all work closely with the nursing and medical staff
to provide a comprehensive plan toward minimizing pain and maximizing function.
Our geriatric medicine physician specialists have additional training in pain
management, and management of the side-effects of pain medication.
Our Integrative Medicine service offers acupuncture and Traditional Chinese medicine as additional
interventions to treat pain. as does Healing Touch, an energy-based therapeutic approach that offers relief from pain.
Fall Round Team
We use the occurrence of a resident falling as an opportunity to conduct
a thorough evaluation in order to minimize the risk of future
falls. Our multidisciplinary team – comprised of a geriatric medicine physician
specialist, nurses, and physical therapists – evaluates every resident
who falls. Additional information is obtained from podiatrists, ophthalmologists,
and other specialists as needed.
Skin Team
Our goal is to minimize any skin breakdown and to heal any that
do occur as quickly as possible. All our residents are evaluated
for risk of skin breakdown, and preventative measures are taken based
on risk. Our Skin Team keeps track of all skin breakdowns, and meets
and evaluates wounds on a weekly basis. The team comprises a geriatric
medicine physician specialist, a nursing wound specialist, a dietitian,
primary care nurses, nurses’ aides,
and where indicated, a podiatrist.
Anticoagulation Team
Many of our residents take medication to thin their blood.
Such medications can be very important, but they do have the
risk of making the blood too “thin.” Many foods and drugs have
the potential to interact with blood thinners, and it is therefore necessary
to monitor blood tests very carefully for residents on this type of medication.
Our Anticoagulation Team, which includes a physician’s assistant, a nurse
practitioner, and a pharmacist, assists the residents’ primary care physicians
in monitoring blood thinners.
Care Plan Meetings
Each resident of the Jewish Home, along with his or her
family, are invited to participate in the patient care plan meeting.
These meetings are held two weeks after admission to the Home, and
on a quarterly basis thereafter. The patient care plan meeting is attended
by members of a multidisciplinary team, which includes the departments of Nursing, Social
Services, and Recreational Activities. Other disciplines,
such as Nutritional Services, Pharmacy, and Rehabilitation Services may
also participate. With input from the resident and family, the multidisciplinary
team reviews the plan of care, thus ensuring that the resident’s care
needs are being met through the most appropriate treatments and interventions.
Quality Assurance and Improvement
The Jewish Home supports and maintains
an organization-wide Quality Assurance / Quality Improvement
program. The program provides for the ongoing monitoring of important
aspects of care and service to residents, and also identifies and addresses
opportunities for improvement. Clinical and ancillary departments participate
in the program.
End-of-Life Care Program
Many people move into the Jewish Home with illnesses destined
to be fatal. Our
end-of-life care program is a collaborative effort to learn about
and respect the preferences of our residents and their families, and
to provide as comfortable and dignified a final period of life as possible.
We avoid treatments with uncomfortable side-effects that will have little
chance of prolonging a dignified life, while emphasizing treatments and
approaches that maximize comfort and satisfaction. Our nursing, medical,
pharmacy, activity, dietary, and social work staff all participate in
our efforts to improve life rather than prolong death.
The Home has also implemented Kol Haneshama: Jewish End-of-Life Care – a program of volunteer and staff training that the Home co-sponsors with the Bay Area Jewish Healing Center in partnership with the Zen Hospice Project, a nationally recognized innovator in the training of volunteers for end-of-life care. On-going training for this program nvolves volunteers, Jewish Home employees, and community members. Numerous families have benefited from knowing that their loved one formed a close relationship as they approached the end of their life.
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