{"title":"An Overview of Insulin Therapy in the Management of Diabetes Mellitus.","authors":"","doi":"10.1097/NHH.0000000000001238","DOIUrl":"10.1097/NHH.0000000000001238","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"41 6","pages":"E6"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434723","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}
{"title":"Improving Clinician Communication through Action Research.","authors":"Erica J Arndt, Anne Fleischer, Geela Spira","doi":"10.1097/NHH.0000000000001202","DOIUrl":"10.1097/NHH.0000000000001202","url":null,"abstract":"<p><p>There are many challenges to interdisciplinary communication in home care. Management often takes a top-down approach, instructing home care clinicians on methods to improve communication. In this pretest-posttest intervention study, a bottom-up approach was taken using a focus group to allow home care clinicians to identify, develop, and implement strategies to share critical clinical and social information. The participants in the intervention group were compared with a control group who did not participate in the focus group. We found that empowering home care clinicians to develop strategies to improve interdisciplinary communication was beneficial in improving interdisciplinary collaboration. Actively involving home care clinicians in identifying issues and developing solutions may lead to improved collaboration.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"41 6","pages":"309-315"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434730","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}
Nguyen Thi Thu Trieu, Michele Upval, Nguyen Thi Yen Hoai, Tran Van Long, Nguyen Thi Anh Phuong
{"title":"Acceptability, Appropriateness, and Feasibility of an Educational Program to Promote Treatment Adherence in Patients with Chronic Obstructive Pulmonary Disease.","authors":"Nguyen Thi Thu Trieu, Michele Upval, Nguyen Thi Yen Hoai, Tran Van Long, Nguyen Thi Anh Phuong","doi":"10.1097/NHH.0000000000001206","DOIUrl":"10.1097/NHH.0000000000001206","url":null,"abstract":"<p><p>The mortality rate due to chronic obstructive pulmonary disease (COPD) has increased annually, and non-adherence to treatment is one reason for this rise. Developing intervention programs to enhance treatment adherence for people with COPD is essential. The purpose of this mixed-methods study was to determine the acceptability, appropriateness, and feasibility of such a program. We sought the opinions of 15 healthcare managers and 15 practicing nurses from three hospitals across Vietnam and conducted group discussions and interviews with 30 patients with COPD. We then formulated integrated conclusions on the acceptability, appropriateness, and feasibility of the program. The overall average score of 12 items to test the acceptability, appropriateness, and feasibility of the program from both healthcare managers and practicing nurses was high (M = 4.31; SD = 0.11) and (M = 4.37; SD = 0.12), respectively. Thirty COPD outpatients agreed the content and plan of the program were necessary for them to enhance their treatment adherence at home. The document content was appropriate, easy to understand, and the support and education provided by nurses was helpful. The educational intervention program to promote treatment adherence for patients with COPD was acceptable, appropriate, and feasible from the views of healthcare managers, nurses, and patients with COPD.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"41 6","pages":"330-337"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434721","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}
{"title":"Understanding the Pathway to Empathy.","authors":"Michael Dellosso","doi":"10.1097/NHH.0000000000001210","DOIUrl":"10.1097/NHH.0000000000001210","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"41 6","pages":"351-352"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434734","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}
Claudine Hagan, Heide Cygan, Laurie Rockwell, Karen Naccarato, Tina Bowers, Barbara Katz
{"title":"A Supportive Heart Failure Care Program to Reduce Hospital Readmissions.","authors":"Claudine Hagan, Heide Cygan, Laurie Rockwell, Karen Naccarato, Tina Bowers, Barbara Katz","doi":"10.1097/NHH.0000000000001207","DOIUrl":"10.1097/NHH.0000000000001207","url":null,"abstract":"In the United States, heart failure (HF) is the leading reason for hospital readmissions, with 27% of Medicare recipients with HF being readmitted within 30 days The purpose of this quality improvement project was to decrease HF readmissions during their first 30 days of care with our home health agency. The Supportive Heart Failure Care education program was based on the results of a population assessment and included establishment of agency-wide best practices, nursing education sessions, and implementation of best practices focused on evidence-based self-management. After implementation of this project, the hospital readmission rate decreased from 32% to 21%. The nurses who completed the education sessions (N = 35) showed an increase in knowledge of 4.1% from pre-test scores. However, chart audits showed varying levels of documented practice in alignment with best practices. Although results of this project showed a small improvement in nurse knowledge and varied changes to documented practice, the overall project goal of decreasing hospital readmissions was achieved. Understanding individual and systems-level barriers to translating education to practice is needed to better meet the needs of home health nurses and the HF patients they serve.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"41 6","pages":"321-329"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434720","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}
{"title":"Treating Discogenic Low Back Pain in the Home Care Setting.","authors":"Doug Creighton","doi":"10.1097/NHH.0000000000001212","DOIUrl":"10.1097/NHH.0000000000001212","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"41 6","pages":"343-345"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434733","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}
{"title":"An Overview of Insulin Therapy in the Management of Diabetes Mellitus.","authors":"Marla J Hayes","doi":"10.1097/NHH.0000000000001216","DOIUrl":"10.1097/NHH.0000000000001216","url":null,"abstract":"<p><p>Diabetes is the most common diagnosis among home care patients. All patients with type 1 diabetes require insulin, and due to the progressive nature of type 2 diabetes, most will eventually need insulin therapy. The newer analog insulins that have been developed include long-acting, ultra-long-acting, rapid-acting, and ultra-rapid-acting. They mimic the body's natural insulin secretion and allow patients more flexibility in diet and lifestyle while achieving blood glucose control. This article provides an overview of insulin therapy and related patient care and teaching considerations.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"41 6","pages":"298-303"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434722","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}
{"title":"Elder Abuse: The Hidden Epidemic.","authors":"Karen Hellwig","doi":"10.1097/NHH.0000000000001196","DOIUrl":"10.1097/NHH.0000000000001196","url":null,"abstract":"<p><p>Elder abuse is a major public health problem. Prior to the pandemic, approximately 1 in 10 older adults in the United States experienced elder mistreatment. In 2020, this number doubled to 1 in 5, a nearly 84% increase (Liu, 2022). More distressing is that in almost 60% of elder abuse and neglect cases, a family member is the offender and two-thirds of the perpetrators are adult children or spouses (Nursing Home Justice Team, 2021). Financial abuse is reportedly the fastest-growing form of elder abuse with theft scams at the forefront (Hillendahl, 2022). It is essential that healthcare providers, especially those who care for patients in their homes, understand what elder abuse is, how it can be identified, what conditions may lead to elder abuse, and what home care providers can do to properly intervene when it is suspected that older adults are being abused.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"41 6","pages":"304-308"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434726","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}
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