Home healthcare nowPub Date : 2024-07-01Epub Date: 2024-07-08DOI: 10.1097/NHH.0000000000001275
Sally Huang, Joan Gygax Spicer
{"title":"Developing an Evidence-Based Patient Education Guide on Pain Management for Asian Patients on Hospice.","authors":"Sally Huang, Joan Gygax Spicer","doi":"10.1097/NHH.0000000000001275","DOIUrl":"10.1097/NHH.0000000000001275","url":null,"abstract":"<p><p>Asian Americans are the fastest-growing racial group in the United States. This article describes the development of a pain management assessment guide for Asian patients on hospice, their families, and their nurses. Thematic analysis was used to evaluate the applicability of research on pain, pain management, and barriers to pain management from primarily Asian countries to Asian patients on hospice in the United States. Thematic analysis of interviews with such patients concurs with research findings. Four themes emerged: enduring pain, preference for Chinese medicine remedies, fear of addiction, and concern about the side effects of pain medications. Interviews with experienced hospice nurses also aligned with these themes. Hospice nurses were asked to share their strategies for assessing and managing pain among their Asian hospice patients. Thematic analysis of their interviews revealed six strategies: focusing on treatment goals, involving family and caregivers, explaining the physiology of pain, explaining the progression of pain medications, addressing concerns about addiction, and managing the side effects of medications. The themes that emerged from patient and hospice nurse interviews were used to develop an evidence-based pain management assessment guide to support Asian patients on hospice, their family, and the nurses who care for them.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 4","pages":"236-245"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Home healthcare nowPub Date : 2024-07-01Epub Date: 2024-07-08DOI: 10.1097/NHH.0000000000001273
Brenda Elliott
{"title":"A Day in the life of...A Home Care Researcher.","authors":"Brenda Elliott","doi":"10.1097/NHH.0000000000001273","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001273","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 4","pages":"250"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555587","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 : 2024-07-01Epub Date: 2024-07-08DOI: 10.1097/NHH.0000000000001276
Jodi L Sutherland, Deborah Palmer, Lori Sprague, Bing Si, Salahaldeen Rababa
{"title":"Pilot Study to Determine the Effectiveness of a Home Health Nursing Simulation.","authors":"Jodi L Sutherland, Deborah Palmer, Lori Sprague, Bing Si, Salahaldeen Rababa","doi":"10.1097/NHH.0000000000001276","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001276","url":null,"abstract":"<p><p>Demand for home care has increased due to the expansion of preventive care, people living longer with chronic conditions, and the need for healthcare services as the baby boom population ages. Nurses must be prepared to meet the needs of patients and families in the home setting. Home care nursing simulations have been utilized as a teaching-learning strategy in baccalaureate nursing education, yet less is known about their use with practicing home care nurses and associate degree nursing students. The purpose of this pilot study using simulation was to prepare practicing nurses and student nurses to respond using nursing skills and clinical judgment. The convenience sample consisted of associate degree nursing students (n = 9), practicing home healthcare nurses (n = 8), and nursing faculty (n = 2). The Simulation Effectiveness Tool - Modified (SET-M) Survey (Leighton et al., 2015) was utilized for data collection. Participants perceived the home healthcare simulation to be an effective practice experience with high overall agreement for Pre-briefing, Scenario-Confidence, Scenario-Learning, and Debriefing. The findings of this study provide data to support partnerships to provide home care simulation experiences for associate degree nursing students and practicing home care nurses.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 4","pages":"219-226"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555592","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 : 2024-07-01Epub Date: 2024-07-08DOI: 10.1097/NHH.0000000000001270
Lisa A Gorski
{"title":"Update: The 2024 Infusion Therapy Standards of Practice.","authors":"Lisa A Gorski","doi":"10.1097/NHH.0000000000001270","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001270","url":null,"abstract":"<p><p>The Infusion Therapy Standards of Practice provide evidence-based recommendations for infusion and access device related care in any healthcare setting. Developed and published by the Infusion Nurses Society, the Standards have increased the frequency of the revision process from an every 5-year cycle to a 3-year cycle due to the growing base of literature and to deliver the most updated and current practice recommendations. This article provides an overview of the development process and a brief description of selected standards. Notably, a new standard entitled Home Infusion Therapy was added in this latest edition. The Standards are an essential reference that should be available to every home care agency that provides home infusion therapy.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 4","pages":"198-205"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555596","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 : 2024-07-01Epub Date: 2024-07-08DOI: 10.1097/NHH.0000000000001278
Lisa A Gorski
{"title":"Receiving the Baton.","authors":"Lisa A Gorski","doi":"10.1097/NHH.0000000000001278","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001278","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 4","pages":"197"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555594","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 : 2024-07-01Epub Date: 2024-07-08DOI: 10.1097/NHH.0000000000001269
Sara K Arena, Christopher M Wilson, Lori Boright, John Reed, Will Shriver, Jasmine Castillo-Trigilio, Spencer Nolff
{"title":"Outcomes of Home Emergency Physical Readiness Education for Older Adults.","authors":"Sara K Arena, Christopher M Wilson, Lori Boright, John Reed, Will Shriver, Jasmine Castillo-Trigilio, Spencer Nolff","doi":"10.1097/NHH.0000000000001269","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001269","url":null,"abstract":"<p><p>Emergency preparedness initiatives are a Medicare condition of participation in home healthcare, yet limited evidence on the impact of associated programming is available. The purpose of this exploratory pilot study was to examine the outcomes of an individualized emergency preparedness educational program provided by a physical therapist (PT) in the homes of older adults. The investigators recruited older adults (n = 30) using convenience sampling. An emergency preparedness education module was developed. Demographics, functional and environmental outcome measures, a pre- and post-education confidence survey, and learning outcomes were ascertained and analyzed. Participants reported being female (n = 23), 70 to 79 years (n = 15), and 19 individuals reported 35 different lifetime emergency events. Hearing and vision impairments, inability to change a battery or navigate stairs, and environmental deficits including clutter and poor lighting were identified. Closing bedroom doors at nighttime, functioning carbon monoxide and smoke detectors, creating an evacuation plan, and assembling first aid kits were learning outcomes. Trends toward increased confidence were identified, with statistically significant improvements in the ability to respond to a fire (P = .01), a heat wave (P = .03), and to crawl on hands and knees (P = .05) identified. This study provides emerging evidence that PTs have a role in improving an older adult's confidence to prepare for and respond to an emergency event.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 4","pages":"206-218"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555591","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}