Home Healthc Nurse
· 2014 Jun · PMID 24887273
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Depression is significantly higher among elderly adults receiving home healthcare, particularly among adults with Type 2 diabetes. Depression leads to greater medical illness, functional impairment, and chronic pain. Opp...Depression is significantly higher among elderly adults receiving home healthcare, particularly among adults with Type 2 diabetes. Depression leads to greater medical illness, functional impairment, and chronic pain. Opportunities are often missed to improve mental health and general medical outcomes when mental illness is underrecognized and undertreated. This article discusses the mandate by the Centers for Medicare & Medicaid Services (CMS), Outcome and Assessment Information Set-C (OASIS-C) (2009) for the use of the Patient Health Questionnaire (PHQ-2) to screen for depression in home care patients, with special emphasis on the patient with diabetes.
Home Healthc Nurse
· 2014 Jun · PMID 24887272
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Publisher ↗
Poor air quality has been associated with chronic illness such as diabetes. This can be of particular importance for older adults with diabetes and other chronic conditions who spend most of their time indoors. The purpo...Poor air quality has been associated with chronic illness such as diabetes. This can be of particular importance for older adults with diabetes and other chronic conditions who spend most of their time indoors. The purpose of this study was to assess home air quality and residents' awareness and concerns about air quality in rural underserved areas of upstate New York. Implications for home care clinicians are discussed.
Home Healthc Nurse
· 2014 Jun · PMID 24887271
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Speech language pathologists play an important role in the care of patients with speech, language, or swallowing difficulties that can result from a variety of medical conditions. This article describes how speech langua...Speech language pathologists play an important role in the care of patients with speech, language, or swallowing difficulties that can result from a variety of medical conditions. This article describes how speech language pathologists assess and treat these conditions and the red flags that suggest a referral to a speech language pathologist is indicated.
Home Healthc Nurse
· 2014 Jun · PMID 24887270
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Although home-use medical devices provide significant benefits, including improved quality of life and cost savings, they are associated with unique risks. These risks result from interactions among the user, the use env...Although home-use medical devices provide significant benefits, including improved quality of life and cost savings, they are associated with unique risks. These risks result from interactions among the user, the use environment, and the device, and they can greatly impact user and patient safety. This article describes measures being taken by the Food and Drug Administration to address safe use of medical equipment by trained and untrained people outside of clinical facilities.
Home Healthc Nurse
· 2014 Jun · PMID 24887269
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Therapeutic measures targeting deep vein thrombosis (DVT) are often aggressive to prevent pulmonary embolism (PE). Once receiving anticoagulation therapy, however, there are different viewpoints on whether patients shoul...Therapeutic measures targeting deep vein thrombosis (DVT) are often aggressive to prevent pulmonary embolism (PE). Once receiving anticoagulation therapy, however, there are different viewpoints on whether patients should remain sedentary or be allowed to ambulate, particularly in the home setting. The current literature was reviewed in a systematic fashion to ascertain the risks and benefits of activity level in patients with DVT with regard to PE formation. All studies uniformly demonstrated at least no significant differences in PE formation with either activity level in these DVT patients. There is no evidence to suggest that ambulation by anticoagulated DVT patients in the home setting increases the risk of PE development.
Home Healthc Nurse
· 2014 May · PMID 24802602
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The Center for Healthcare Research & Transformation (CHRT) sponsors research and public information to promote evidence-based care delivery, improve population health, and expand access to care. Housed at the University...The Center for Healthcare Research & Transformation (CHRT) sponsors research and public information to promote evidence-based care delivery, improve population health, and expand access to care. Housed at the University of Michigan, CHRT is a nonprofit partnership between U-M and Blue Cross Blue Shield of Michigan to test the best ideas for improving the effectiveness and efficiency of the health care system.
Home Healthc Nurse
· 2014 May · PMID 24802601
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In 2008, there were 44 million informal family caregivers and the number is expected to rise in the next decade. Hospice clinicians need to explore ways to decrease the burden of care for these informal caregivers. The u...In 2008, there were 44 million informal family caregivers and the number is expected to rise in the next decade. Hospice clinicians need to explore ways to decrease the burden of care for these informal caregivers. The use of electronic technology and social media may be a key component in improving support at end of life in the home setting.