Home Care Nursing Practice: Concepts and Application

Front Cover
Elsevier Health Sciences, Jan 1, 2006 - Medical - 585 pages
Known for its comprehensive, readable, consistent format, as well as its coverage of pediatric and geriatric patients, this practical text and reference presents principles for managing complex patient care in the home environment. It addresses the medical conditions most commonly seen by the home care nurse in the context of the theoretical foundations of home health nursing. Patient education - a vital element of home care - is incorporated throughout. This edition features new chapters on oncology home care, social services for a home care patient, and innovative holistic nursing strategies. It also highlights HIPAA regulations related to home care, new trends in the growing area of telehealth, and content about disaster planning as it relates to people in their homes. Essential information is provided on conditions most commonly seen in home care, including clients with congestive heart failure, ventilator-dependent patients, patients receiving IV therapy, and patients with AIDS. A consistent format in the clinical chapters describes pathophysiology, assessment guidelines, equipment issues, and home care management - so information is easy to reference. Separate chapters highlight unique care considerations for children and elderly patients. Patient education boxes for each condition summarize important information patients need to know. A chapter on working with families in the home emphasizes the importance of providing care to caregivers as well as the patient. Content examines the role of the home care nurse, preparation for that role, and how that role has changed over the years. Guidelines for planning and conducting a home visit are included. Discussion of the importance of proper documentation in home care includes guidelines for Medicare reimbursement. Information on infection control in the home is provided, including the latest CDC guidelines. A chapter on oncology home care emphasizes the unique needs of cancer patients who receive nursing care in their home. A chapter on social services for home care patients explores the numerous support services available to assist in the provision of home care. A chapter on innovative, holistic nursing strategies examines their implementation through telehealth methods. New trends in telehealth are discussed, including specific guidelines, legal standards, telephone triage, and intentionality of health care via the telephone. HIPAA content is discussed in the legal/ethical chapter to highlight the changes brought about by this new federal legislation. Community disaster planning and bioterrorism content in the environmental chapter emphasizes the impact of this issue on people in their homes. The psychosocial aspect of home care is addressed, taking into account its effect on a client's physical condition. Additional safety information is provided in the elderly chapter, such as a home evacuation plan, to reinforce the need for the elderly to have all safety needs addressed.

From inside the book

Contents

The Impact of Technology on Home
12
The Role of the Home Care Nurse
25
Caring for Families in the Home
38
Developing the Plan of Care
49
Infection Control in the Home
75
Patient Education in the Home
97
Legal and Ethical Issues in Home
120
Case Management Collaborative Team
136
The Patient with Cancer
351
SPECIAL CLINICAL
361
The Patient Receiving Home Care Social
375
Therapies
381
Postpartum
403
The Mental Health Patient
425
The Elderly Patient
443
The Hospice and Palliative Care
456

Quality Patient Care
158
CLINICAL APPLICATION
171
The Patient with Chronic Heart
199
The VentilatorDependent Patient
216
The Patient with Chronic Wounds
240
The Patient with Bladder
281
The Patient with Neurological
301
The Patient with AIDS
329
Managing Home Environmental Threats
490
Implications
503
Complementary Therapies and Home
514
Home Care Nursing Strategies That
535
Laboratory Values
543
Index
555
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