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Outcomes of Physical Therapist-Led Urinary Health and Fall Risk Education for Older Adults. 物理治疗师主导的老年人泌尿健康和跌倒风险教育的结果
Home healthcare now Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NHH.0000000000001359
Sara Arena, Chris Wilson, Lori Boright, Sarah Ausum, Kayla O'Kray, Florideo Passarelli, Giuseppe Marinello
{"title":"Outcomes of Physical Therapist-Led Urinary Health and Fall Risk Education for Older Adults.","authors":"Sara Arena, Chris Wilson, Lori Boright, Sarah Ausum, Kayla O'Kray, Florideo Passarelli, Giuseppe Marinello","doi":"10.1097/NHH.0000000000001359","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001359","url":null,"abstract":"<p><p>This study explored the impact of physical therapist (PT)-led education on urinary incontinence (UI) and fall risk in community-dwelling older adults. Thirty adults aged 60 and older, referred from senior community centers, participated in a prospective pilot study. Participants received a 1-hour PT-led educational session in the home environment focusing on UI risk mitigation, including exercise, dietary irritants, and environmental modifications. The intervention led to statistically significant improvements in confidence across all areas, with participant identified key learning outcomes related to UI exercises (90%), dietary irritants (52%), and general UI education (41%). This study demonstrates that PTs, even without specialized pelvic health certification, can positively influence older adults' confidence in managing UI and its related risks, which may reduce fall risk. The results highlight the potential of PT-led education to improve older adults' management of UI and prevent falls.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 4","pages":"230-238"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Part 2: Home Care Negligence and the Legal Aftermath: Focus on IV Medication Safety. 第二部分：家庭护理疏忽和法律后果：静脉用药安全的焦点。
Home healthcare now Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NHH.0000000000001362
Lynn Hadaway
{"title":"Part 2: Home Care Negligence and the Legal Aftermath: Focus on IV Medication Safety.","authors":"Lynn Hadaway","doi":"10.1097/NHH.0000000000001362","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001362","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 4","pages":"256-257"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Informal Caregiver Knowledge and Health Literacy in Home Hospice Pain Management. 非正式照护者知识与健康素养在家庭安宁疗护疼痛管理中的作用。
Home healthcare now Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NHH.0000000000001364
Mary Clare Houlihan, Masako Mayahara, Barbara Swanson, Jessica Bishop-Royse, Young-Me Lee, Sarah Ailey
{"title":"The Role of Informal Caregiver Knowledge and Health Literacy in Home Hospice Pain Management.","authors":"Mary Clare Houlihan, Masako Mayahara, Barbara Swanson, Jessica Bishop-Royse, Young-Me Lee, Sarah Ailey","doi":"10.1097/NHH.0000000000001364","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001364","url":null,"abstract":"<p><p>Informal caregivers play a crucial role in managing pain for home hospice patients, yet they often feel inadequately prepared for this responsibility. An informal caregiver's lack of health literacy may impact their pain management knowledge and skills, potentially contributing to higher intensity of patient pain. The purpose of this study was to describe the health literacy of informal home hospice caregivers and examine associations between their health literacy, pain knowledge, and patient pain intensity. Our secondary data analysis of the e-PainSupport randomized clinical trial found that 20.6% of hospice caregivers had limited health literacy. Significant associations were found between caregiver health literacy and pain knowledge; however, there was no significant association between caregiver pain knowledge and patient pain intensity. These findings suggest that improving caregiver pain knowledge by providing additional support to those with limited health literacy is important, but it may not be sufficient on its own to reduce patient pain intensity. Further research is needed to explore other factors that may contribute to effective pain management, as unrelieved pain remains prevalent at the end of life.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 4","pages":"239-248"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exercise Considerations for Individuals with Type I Diabetes. 1型糖尿病患者的运动注意事项
Home healthcare now Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NHH.0000000000001352
Kiley Schneck, Sara Arena
{"title":"Exercise Considerations for Individuals with Type I Diabetes.","authors":"Kiley Schneck, Sara Arena","doi":"10.1097/NHH.0000000000001352","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001352","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 4","pages":"251-252"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pressure Mapping in the Home of Children with Medical Complexity to Assist with Management of Pressure Injuries. 在医疗复杂的儿童家中绘制压力图以协助管理压力伤害。
Home healthcare now Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NHH.0000000000001361
JoAnn Devany, Ben Reader
{"title":"Pressure Mapping in the Home of Children with Medical Complexity to Assist with Management of Pressure Injuries.","authors":"JoAnn Devany, Ben Reader","doi":"10.1097/NHH.0000000000001361","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001361","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 4","pages":"256-260"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics of Early Home Health Care Following Discharge From the Neonatal Intensive Care Unit. 新生儿重症监护病房出院后早期家庭保健的特点。
Home healthcare now Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NHH.0000000000001358
Janine Bernardo, Brandon Smith, Lisa Yanek, Susan Huff, Pamela Donohue
{"title":"Characteristics of Early Home Health Care Following Discharge From the Neonatal Intensive Care Unit.","authors":"Janine Bernardo, Brandon Smith, Lisa Yanek, Susan Huff, Pamela Donohue","doi":"10.1097/NHH.0000000000001358","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001358","url":null,"abstract":"<p><p>Home health care (HHC) supports NICU graduates by easing the transition home, educating families, and providing medical care. However, little is known about early HHC use in this population. Using the IBM Marketscan Research Database, we analyzed HHC use within 3 months of NICU discharge among commercially insured U.S. infants (2015-2017). Of 22,214 NICU survivors, 1,824 (8.2%) received HHC. Infants receiving HHC were more often preterm (80%) and had chronic conditions (61%). Regional disparities existed, with higher HHC use in the Northeast than in the South and West. Despite the medical complexity of NICU graduates, most did not receive HHC. Future research should explore HHC access among publicly insured infants, regional disparities, and barriers to care.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 4","pages":"221-229"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Getting the Full Picture: Nurses Use Video Visits to Enhance Telephone Triage for Homebound Patients. 全面了解：护士使用视频访问来增强对居家病人的电话分诊。
Home healthcare now Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NHH.0000000000001354
Barbara Squeri, Jennifer Huang, Silvia Chavez, Sarah Nowlin
{"title":"Getting the Full Picture: Nurses Use Video Visits to Enhance Telephone Triage for Homebound Patients.","authors":"Barbara Squeri, Jennifer Huang, Silvia Chavez, Sarah Nowlin","doi":"10.1097/NHH.0000000000001354","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001354","url":null,"abstract":"<p><p>This pilot project evaluated nurse-led video visits as an adjunct to telephone triage in home-based primary care. Video visits were facilitated by community health workers (CHW), a telehealth coordinator, and Wi-Fi enabled tablets on a video visit platform. Data were collected and analyzed for visit type, indication, and characteristics. More than half were CHW-facilitated, with skin complaints as the most common reason. Video visits allowed nurses to better understand the patient situation than telephone triage alone. CHW-facilitated visits took longer but yielded more assessment information. Nurses involved in this project found nurse-led video visits a beneficial tool in better understanding the total clinical and social picture of older adults in our home-based primary care practice when compared to telephone triage alone.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 4","pages":"206-212"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
World Hospital at Home Congress. 世界家庭医院大会。
Home healthcare now Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NHH.0000000000001365
Susan M Hinck
{"title":"World Hospital at Home Congress.","authors":"Susan M Hinck","doi":"10.1097/NHH.0000000000001365","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001365","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 4","pages":"255"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring interprofessional collaboration and patient-centered care for people living with dementia. 探索为痴呆症患者提供跨专业合作和以患者为中心的护理。
Home healthcare now Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NHH.0000000000001369
{"title":"Exploring interprofessional collaboration and patient-centered care for people living with dementia.","authors":"","doi":"10.1097/NHH.0000000000001369","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001369","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 4","pages":"E4"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospice Acupuncture. 临终关怀针灸。
Home healthcare now Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1097/NHH.0000000000001353
Corinne Kohrherr
{"title":"Hospice Acupuncture.","authors":"Corinne Kohrherr","doi":"10.1097/NHH.0000000000001353","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001353","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 4","pages":"261-263"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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