Home healthcare nowPub Date : 2025-09-01Epub Date: 2025-09-08DOI: 10.1097/NHH.0000000000001379
Rebecca Sharp, Remy Boyes, Dunya Markovic
{"title":"Nursing Care of Adults With a Peripherally Inserted Central Catheter (PICC) or Midline Catheter in the Home: Clinical Management and Health Consumer Support.","authors":"Rebecca Sharp, Remy Boyes, Dunya Markovic","doi":"10.1097/NHH.0000000000001379","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001379","url":null,"abstract":"<p><p>Peripherally inserted central catheters (PICCs) and midline catheters are widely utilized for intravenous treatment in home care settings. Despite their similar appearance, these devices differ significantly due to the tip location, which influences the types of infusions that can be safely administered. It is important for home care nurses to have a comprehensive understanding of these differences to ensure safety. The role of home care nurses extends beyond clinical management to encompass education and support for health consumers and their families. Health consumers living with a PICC have reported a wide range of unmet needs, including the requirement for further clinical and practical information as well as support to comprehend the education provided. Health consumers have also reported unmet practical needs, with challenges in adapting daily life such as showering and sleeping. Individuals living with the device and their family may also have unmet emotional needs with support required to ensure well-being. It is important that home care nurses and other clinicians appreciate the supportive care needs of individuals living with a vascular access device and their families. Addressing these needs is paramount to ensure the delivery of safe, high-quality care in the home.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 5","pages":"272-279"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016434","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}
Home healthcare nowPub Date : 2025-07-01Epub Date: 2025-07-07DOI: 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}
Home healthcare nowPub Date : 2025-07-01Epub Date: 2025-07-07DOI: 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}
Home healthcare nowPub Date : 2025-07-01Epub Date: 2025-07-07DOI: 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}
Home healthcare nowPub Date : 2025-07-01Epub Date: 2025-07-07DOI: 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}
Home healthcare nowPub Date : 2025-07-01Epub Date: 2025-07-07DOI: 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}
Home healthcare nowPub Date : 2025-07-01Epub Date: 2025-07-07DOI: 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}
Home healthcare nowPub Date : 2025-07-01Epub Date: 2025-07-07DOI: 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}
Home healthcare nowPub Date : 2025-07-01Epub Date: 2025-07-07DOI: 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}