Reducing COPD Rehospitalizations
Patients with chronic obstructive pulmonary disease (COPD) who are rehospitalized following hospitalization for an exacerbation of COPD are at higher risk of mortality and poor health outcomes. Approximately 20% of patients who are discharged from the hospital following an exacerbation of COPD are readmitted within 30 days. At a home healthcare agency in southeastern United States, 36.4% of patients admitted to the agency with a primary or secondary diagnosis of COPD between August 2018 and January 2019 were rehospitalized within 30 days of admission. A quality improvement project was conducted between January 2019 and Jul...
Source: Home Healthcare Nurse - March 1, 2020 Category: Nursing Tags: Feature Source Type: research
The Ventilator-Dependent Child: Best Practices for Educating Home Care Nurses
This article describes the PHS program for educating and training home care nurses (HCNs). Since the inception of the company, advanced training for family and professional caregivers of ventilator-dependent children has been an important focus. The current program for HCN has three components and incorporates simulation and in-home training. Standardizing educational requirements and competencies for pediatric HCNs across nursing agencies has the potential to improve outcomes for children with medical complexity receiving home healthcare services. (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - March 1, 2020 Category: Nursing Tags: Feature Source Type: research
The Ventilator-Dependent Child: What Every Home Care Nurse Needs to Know
As the population of ventilator-dependent children with tracheostomies grows, there are increasing demands to shift the care of technology-dependent children from hospital to home. Home care nurses are an integral part in the continuum of care for these children and their families after hospital discharge. Home care nurses help to facilitate a safe transition from the hospital and allow families and children to thrive in their home and community. The purpose of this article is to describe best practices in caring for children with tracheostomies and invasive home mechanical ventilation. Hypothetical case studies are presen...
Source: Home Healthcare Nurse - March 1, 2020 Category: Nursing Tags: Feature: CE Connection Source Type: research
Targeted Probe and Educate
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - March 1, 2020 Category: Nursing Tags: EDITORIAL Source Type: research
Management of Severe Pain in Terminally Ill Patients at Home: An Evidence-Based Strategy
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: CE Connection Source Type: research
Finding Evidence-Based Resources for Care
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: COMMENTARY Source Type: research
Public Policy Is Nursing Work
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: VNAA'S VOICE Source Type: research
Listening to How Stroke Families Solve Problems in Caring
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: CONSULT PRN Source Type: research
A Day in the Life of a Home Care Nurse Called to Nepal
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: A DAY IN THE LIFE OF... Source Type: research
Patients Should Not Swallow AcipHex Sprinkle Capsules!
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: ISMP MEDICATION SAFETY Source Type: research
Naloxone Accessibility and Use by Rehabilitation Therapists for Opioid Overdoses
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: FOCUS ON THERAPY Source Type: research
Parkinson Disease
No abstract available (Source: Home Healthcare Nurse)
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: FOCUS ON GERIATRICS Source Type: research
Predictors of Depressive Symptoms in Heart Failure Caregivers
This study examined predictors (i.e., sociodemographic and clinical characteristics, social support, social problem-solving, family functioning, and objective and subjective burden) of depressive symptoms in 530 informal caregivers of individuals with heart failure in a large cross-sectional, descriptive study in the community. Younger caregivers who provided care for longer periods of time, lived in rural areas, and had less social support and lower problem-solving skills were more likely to have depressive symptoms. These findings emphasize the need for further studies to develop dynamic and innovative approaches that in...
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: Feature Source Type: research
Medication Discrepancies in Older Veterans Receiving Home Healthcare
In a prospective cohort study of Veterans and community health nurses, we enrolled hospitalized older Veterans referred to home care for skilled nursing and/or physical or occupational therapy for posthospitalization care. We assessed preadmission activities of daily living and instrumental activities of daily living, health literacy, numeracy, and cognition. Postdischarge phone calls identified medication errors and medication reconciliation efforts by home healthcare clinicians. Veterans Administration-based community health nurses completed surveys about content and timing of postdischarge interactions with home healthc...
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: Feature Source Type: research
Identifying Targets to Improve Heart Failure Outcomes for Patients Receiving Home Healthcare Services: The Relationship of Functional Status and Pain
Heart failure (HF) is one of the leading causes of rehospitalization in the United States. Due to the complex nature of HF, the provision of Medicare-certified home healthcare services has increased. Medicare-certified home healthcare agencies measure and report patients' outcomes such as functional status, activities of daily living (ADL), and instrumental activities of daily living to the Centers for Medicare and Medicaid Services. These metrics are assessed using the Outcome and Assessment Information Set (OASIS). As a large data set, OASIS has been used to advance care quality in multiple ways including identifying ris...
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: Feature Source Type: research
