Home healthcare now最新文献_第3页

Falls among Pediatric Patients Receiving Home Care. 接受家庭护理的儿科患者的跌倒情况。

Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001282

Ben Reader, Thomas Javens, Jaimie Albert, Abigail Nelson, David Wessells

{"title":"Falls among Pediatric Patients Receiving Home Care.","authors":"Ben Reader, Thomas Javens, Jaimie Albert, Abigail Nelson, David Wessells","doi":"10.1097/NHH.0000000000001282","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001282","url":null,"abstract":"Children with medical complexity (CMC) often require home healthcare services to manage chronic health conditions. Evaluation of home safety is recommended when children transition from hospital to home care, though despite best efforts, safety events, such as falls, still occur. Understanding the prevalence and causal factors of falls in CMC is critical for the development of fall prevention interventions and protocols. This study aims to describe demographics and reasons for falls reported in CMC receiving home healthcare services. A retrospective analysis was performed using data from an incident reporting database from January 2019 to March 2023. Participants included CMC who received home healthcare services from a single institution and had at least one documented fall. A total of 43 falls were experienced by 31 unique participants. The participants were predominantly male (58.1%), White (71.0%), and non-Hispanic/Latino (96.8%), with a median age of 10 years at the time of the fall. Primary diagnoses of CMC with falls included neurological disorders (41.9%), congenital chromosomal abnormalities (25.8%), and oncological conditions (16.1%). The most common reasons for falls were loss of balance (32.6%), unknown factors (19.6%), and trip/slips (17.4%). Half of falls were deemed to be potentially preventable. This study provides valuable insight into falls among CMC receiving home healthcare services and emphasizes the multifactorial nature of fall risks in this population. Understanding demographic characteristics, diagnoses, and causal factors of falls is critical in the development of proactive fall prevention strategies. Responding proactively to mitigate fall risks is an important step in enhancing the safety and quality of life for CMC. Future collaborative research efforts are warranted to validate findings and evaluate potentially successful fall prevention interventions.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 5","pages":"295-300"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297498","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

Caring for Persons with Alzheimer's Disease during a Pandemic: An Integrative Literature Review. 大流行病期间对阿尔茨海默病患者的护理：文献综述。

Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001288

Lori Kokoszka, Christine Pariseault, Christine A Pariseault, Devon Hunter

{"title":"Caring for Persons with Alzheimer's Disease during a Pandemic: An Integrative Literature Review.","authors":"Lori Kokoszka, Christine Pariseault, Christine A Pariseault, Devon Hunter","doi":"10.1097/NHH.0000000000001288","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001288","url":null,"abstract":"The population experiencing Alzheimer's disease (AD) and their caregivers have been tremendously impacted by the global COVID-19 pandemic. Outpatient services became less accessible during the pandemic lockdown which caused increased caregiver burden more than usual. Further examination discovered that caregivers were unable to properly take care of themselves because of the need to provide around-the-clock care to loved ones, who pre-pandemic were able to receive supplemental caregiving services. The purpose of this integrative review was to provide a synthesis of information regarding caregiver experiences, during a time of limited resources, such as with the COVID-19 global pandemic. A comprehensive search of the literature databases Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medline was completed yielding qualitative and mixed-methods studies. The literature search yielded 14 articles which met the criteria. Three themes emerged during this review. They include: Deprivation of self-care and social connectedness, Fragmented care and resources, and Improved policy development. Multiple gaps in caregiver needs have been identified throughout the literature. Outpatient services, home health aides, and respite care remain necessary elements of care for those with AD and for the relief of the caregiver. Forward planning should include government policies to support caregiving of those with AD, especially in the light of service restrictions or unavailable services.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 5","pages":"267-276"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297441","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

IHCNO Members Assemble in Asia. IHCNO 成员齐聚亚洲。

Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001284

Marilyn D Harris

引用次数: 0

Introducing Innovations: New Columns and Fresh Perspectives. 介绍创新：新专栏和新视角。

Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001293

Lisa A Gorski

引用次数: 0

Using Existing Resources to Create a Successful End-of-Life Doula Program. 利用现有资源创建一个成功的临终 Doula 计划。

Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001281

Amisha Parekh de Campos, Diane Santostefano, Susan Daniels

引用次数: 0

Risk Factor Management for Patients with Atrial Fibrillation in Home Healthcare. 家庭保健中心房颤动患者的风险因素管理。

Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001274

Konrad J Dias, Rose M Pignataro, John D Heick

{"title":"Risk Factor Management for Patients with Atrial Fibrillation in Home Healthcare.","authors":"Konrad J Dias, Rose M Pignataro, John D Heick","doi":"10.1097/NHH.0000000000001274","DOIUrl":"10.1097/NHH.0000000000001274","url":null,"abstract":"Atrial fibrillation (AF) is a common and persistent cardiac arrhythmia that impacts morbidity, mortality, disability, quality of life, and healthcare costs. Typically, AF is managed using a three-pillar approach of rate control, rhythm control, and anticoagulation. However, these interventions fail to address the underlying pathophysiological factors that contribute to AF. A compelling body of research expands traditional management by focusing on lifestyle modification to lower the risk of AF incidence, prevalence, progression, and severity. Home healthcare clinicians possess the knowledge and skills to examine and treat a wide range of risk factors that lead to AF, and therefore can substantially reduce incident and persistent AF and facilitate optimal outcomes. This perspective paper presents a clinical paradigm shift by proposing a five-factor Partner, Quantify, Recommend, Support, and Teach (PQRST) framework to support AF risk factor modification in home healthcare. The PQRST framework incorporates a greater focus on patient self-management through education and exercise to reduce incidence, prevalence, progression, and severity of AF.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 5","pages":"301-307"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297501","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 Effect of Treatment Adherence on Health Status of Outpatients with Chronic Obstructive Pulmonary Disease. 坚持治疗对慢性阻塞性肺病门诊患者健康状况的影响。

Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001289

Nguyen Thi Thu Trieu, Michele Upvall, Nguyen Thi Yen Hoai, Pham Thi Thuy, Tran Van Long, Nguyen Thi Anh Phuong

{"title":"The Effect of Treatment Adherence on Health Status of Outpatients with Chronic Obstructive Pulmonary Disease.","authors":"Nguyen Thi Thu Trieu, Michele Upvall, Nguyen Thi Yen Hoai, Pham Thi Thuy, Tran Van Long, Nguyen Thi Anh Phuong","doi":"10.1097/NHH.0000000000001289","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001289","url":null,"abstract":"Adherence to COPD treatment plays a crucial role in patient health outcomes. Understanding the correlation between treatment adherence and health status is vital for clinicians to develop effective disease management strategies. This study aimed to examine treatment adherence and its impact on the health status of COPD patients, specifically focusing on the effects of adhering to inhaled medications and breathing exercises. A cross-sectional study involving 420 outpatients diagnosed with COPD was conducted. The study encompassed administering questionnaires, observing patient breathing exercises, and measuring ventilatory function. Results showed that only 36.9% of participants adhered to treatment, with 44.7% following inhaler protocols and 36.9% regularly engaging in breathing exercises. The patients who were non-adherent exhibited a 0.3-fold increase in disease severity compared to the adherent group (p = .002). These findings suggest that consistent adherence to treatment, including inhaled medications and breathing exercises, may positively affect health status by reducing disease severity and airway obstruction in COPD patients. To address this, we recommend that home care clinicians implement a post-discharge assessment and intervention program. This program should focus on educating patients about the importance of treatment adherence and promoting behaviors that reinforce adherence to prescribed therapies.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 5","pages":"260-266"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297503","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 Effect of Treatment Adherence on Health Status of Outpatients with Chronic Obstructive Pulmonary Disease. 坚持治疗对慢性阻塞性肺病门诊患者健康状况的影响。

Home healthcare now Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1097/NHH.0000000000001295

引用次数: 0

Frontloading Home Physical Therapy Visits for Patients With Heart Failure: A Multi-center Randomized Controlled Trial. 心力衰竭患者的家庭物理治疗前置：多中心随机对照试验。

Home healthcare now Pub Date : 2024-07-01 Epub Date: 2024-07-08 DOI: 10.1097/NHH.0000000000001267

Konrad J Dias, Jeffrey Child, Mary T Blackinton, Stanley Wilson, Dustin R Brown, Sean M Collins

{"title":"Frontloading Home Physical Therapy Visits for Patients With Heart Failure: A Multi-center Randomized Controlled Trial.","authors":"Konrad J Dias, Jeffrey Child, Mary T Blackinton, Stanley Wilson, Dustin R Brown, Sean M Collins","doi":"10.1097/NHH.0000000000001267","DOIUrl":"10.1097/NHH.0000000000001267","url":null,"abstract":"Frontloading home care visits has been found to be effective in the nursing profession but has not been investigated in physical therapy (PT) practice. This study aimed to examine the impact of frontloading home PT visits on function in persons with heart failure (HF). This was a prospective multi-center randomized controlled trial with blinded raters. A total of 82 ambulatory patients with a primary diagnosis of HF discharged from an acute care facility to home care participated in the study. Subjects were randomly allocated to an experimental frontloaded group (FLG) or control group (CG) for 4 weeks. FLG visit frequencies were five sessions per week for 2 weeks, and three sessions per week for 2 weeks. The CG received two sessions per week for 4 weeks. Functional measures including the 2-minute step test (2MST), 2-minute walk test (2MWT), gait speed (GS), Timed Up and Go (TUG), and 30-second chair rise test (30-CRT) were collected at the onset of care, at the end of 2 weeks and 4 weeks. The groups were statistically similar at baseline for all measures. All subjects significantly improved scores in all functional measures over time, within-subject main effect (p < .01). Significant between-subject effects were noted for 30-CRT (p = .04). Interaction effects were noted for GS (p = .03) and TUG test (p = .02). This is the first study to report meaningful improvements in function in individuals with HF. Significant treatment effect differences between the FLG and CG were found for GS, TUG, and 30-CRT. Future studies should examine the use of a standardized intervention to validate the effectiveness of frontloading home visits on quality of life and readmission rates.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 4","pages":"227-235"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555589","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

Pseudobulbar Affect. 假性勃起功能障碍

Home healthcare now Pub Date : 2024-07-01 Epub Date: 2024-07-08 DOI: 10.1097/NHH.0000000000001271

Katherine Marshall, Deborah Hale

引用次数: 0