Home Healthc Nurse
· 2013 May · PMID 23652979
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Providing culturally and linguistically appropriate home healthcare and hospice care to patients who have emigrated from the African continent can be a challenge. This article reviews Web sites that provide introductions...Providing culturally and linguistically appropriate home healthcare and hospice care to patients who have emigrated from the African continent can be a challenge. This article reviews Web sites that provide introductions to some of the predominant cultures in Africa. Web sites providing patient education material in 13 African languages are also discussed.
Home Healthc Nurse
· 2013 May · PMID 23652977
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Statistics from various resources report that many patients in home healthcare settings have wounds. These vary from surgical, pressure, neuropathic, trauma, stasis, and venous wounds. These require the assessment, knowl...Statistics from various resources report that many patients in home healthcare settings have wounds. These vary from surgical, pressure, neuropathic, trauma, stasis, and venous wounds. These require the assessment, knowledge, and expertise of a clinician to assist them with wound care management. The purpose of this article is to identify and categorize types of wound care products appropriate for the various types of wounds that clinicians care for and manage in the home.
Home Healthc Nurse
· 2013 May · PMID 23652975
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Urinary incontinence is a prevalent but difficult dysfunction for many older adults. Living with urinary incontinence can have a profound impact on one's quality of life. The purpose of this case study and article is to...Urinary incontinence is a prevalent but difficult dysfunction for many older adults. Living with urinary incontinence can have a profound impact on one's quality of life. The purpose of this case study and article is to identify and describe treatment techniques used to treat urinary incontinence.
Home Healthc Nurse
· 2013 May · PMID 23652974
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Pain is subjective and a unique and individual experience. For those involved in the care of hospice patients, pain management can be challenging and is not always effectively managed. This case study explores an older a...Pain is subjective and a unique and individual experience. For those involved in the care of hospice patients, pain management can be challenging and is not always effectively managed. This case study explores an older adult cancer patient's pain experience at the end of her life with implementation of pain management strategies from hospice.
Home Healthc Nurse
· 2013 Jun · PMID 23635661
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Home care and hospice agencies, bound by regulations, prepare for emergencies and disasters by creating policies and protocols for management of emergency situations, perhaps conducting table top or other types of drills...Home care and hospice agencies, bound by regulations, prepare for emergencies and disasters by creating policies and protocols for management of emergency situations, perhaps conducting table top or other types of drills, and discussing hazards likely to impact home care. Is this preparation merely an exercise to meet a requirement, or is it life-saving preparation? For one home care agency, the emergency exercise saved the day as the scenario enacted in the drill was actually lived out a few weeks after the exercise-a scenario the agency leaders hoped they would never face. This account explores how the agency prepared to meet the emergent situation and details lessons learned in the aftermath.
Home Healthc Nurse
· 2013 Jun · PMID 23632275
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The number of home healthcare clinicians who have been harmed by workplace violence as the direct result of patient care is not known. An initiative in the form of a 36-question survey was sent to the nurse administrator...The number of home healthcare clinicians who have been harmed by workplace violence as the direct result of patient care is not known. An initiative in the form of a 36-question survey was sent to the nurse administrators of 156 visiting nurse organizations in the United States. The purpose was to describe workplace violence policies and practices and explore what agencies are doing to protect visiting nurses.
Heart failure (HF) is a costly chronic disease that affects 5.7 million people in the United States. Home healthcare agencies are implementing initiatives to reduce hospitalizations and manage HF patients at home. In thi...Heart failure (HF) is a costly chronic disease that affects 5.7 million people in the United States. Home healthcare agencies are implementing initiatives to reduce hospitalizations and manage HF patients at home. In this study, telemonitoring improved patients' perception of their quality of life and assisted them to sustain critical self-care behaviors. Patients who were monitored had fewer hospitalizations but telemonitoring was not statistically significant in lowering hospitalizations.
Constipation remains a challenging problem for patients and caregivers in home healthcare. Part 1 of this two-part series discussed the scope, physiology, and evidence-based practice for nonpharmacological interventions...Constipation remains a challenging problem for patients and caregivers in home healthcare. Part 1 of this two-part series discussed the scope, physiology, and evidence-based practice for nonpharmacological interventions for constipation. This second article will focus on evidence-based pharmacological prevention and management of constipation, medication cost, and implications for palliative care.
This article provides an evidence-based overview of heart failure (HF), including its pathogenesis, staging, assessment, prognosis, and treatment with intravenous inotropic medications in the home. Inotropic infusions in...This article provides an evidence-based overview of heart failure (HF), including its pathogenesis, staging, assessment, prognosis, and treatment with intravenous inotropic medications in the home. Inotropic infusions in the home setting require advanced care planning, symptom management, and knowledge about ambulatory pumps and devices. These medications can be safely used throughout the continuum of care as pediatric/adult bridges from transplant to hospice care. Nurses who recognize advanced HF symptomatology and use prognostic/risk-stratification models will be better prepared to facilitate this advanced care planning, thus supporting optimal treatment outcomes. The ultimate goal of care for heart failure therapy in the home is to integrate pharmacotherapeutic knowledge of treatment advances with comfort measures and to provide them to patients concurrently and in a seamless process.
Evidence-based practice has become the accepted phrase relative to healthcare quality and outcomes. Hospice providers have begun to express an interest in applying evidence to practice. Evidence-based practice, with its...Evidence-based practice has become the accepted phrase relative to healthcare quality and outcomes. Hospice providers have begun to express an interest in applying evidence to practice. Evidence-based practice, with its tiers of evidence, ranks quantitative research methods at the top. However, there is concern that applying evidence-based practice to a subjective concept like pain and suffering may be problematic. A more balanced approach to quality outcomes in hospice care may need to involve patient experience and qualitative research.