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Early Detection of Ototoxicity in Home Healthcare. 家庭保健中耳毒性的早期检测。
Home healthcare now Pub Date : 2026-05-01 Epub Date: 2026-05-04 DOI: 10.1097/NHH.0000000000001430
Hannah Borguilla Delacaudra
{"title":"Early Detection of Ototoxicity in Home Healthcare.","authors":"Hannah Borguilla Delacaudra","doi":"10.1097/NHH.0000000000001430","DOIUrl":"10.1097/NHH.0000000000001430","url":null,"abstract":"<p><p>Hearing is a vital part of human experience. It serves as a medium for communication, shapes perception of the world, and facilitates the formation of meaningful relationships. Thus, when hearing loss occurs, it can have a profoundly life-altering and detrimental impact on an individual. Hearing loss can be attributed to a variety of causes, including genetics, aging, medications, and disease processes. Commonly used medications, such as antibiotics, diuretics, and antineoplastics, can damage the inner ear's delicate internal structures, leading to hearing loss-a condition known as ototoxicity. Early recognition and treatment are crucial in preventing irreversible damage from these medications, and nurses play a vital role in this process. In the home healthcare setting, nurses serve as advocates, fostering trusting relationships with patients to promote patient safety and ensure effective monitoring and education. Numerous studies have discussed ototoxicity and emphasized the need for consistent monitoring, guidelines, and protocols; however, there is a notable lack of research investigating nursing-based interventions and acknowledging the critical role of nurses in implementing these preventive measures in home healthcare. The objective of this manuscript is to discuss an individual's experience with permanent hearing loss due to ototoxicity, highlighting the vital role nurses play in preventing these devastating effects. It emphasizes expanding the nurse's role in home healthcare to improve the timely detection and monitoring of ototoxicity. Proposed strategies include nursing assessment checklists, structured patient education handouts, and symptom diaries. By outlining key nursing interventions and proposed evaluation strategies, this manuscript raises awareness of how medication-induced, irreversible hearing loss can be mitigated through proper patient education and nursing-based monitoring in the home healthcare setting.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 3","pages":"139-147"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843977","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
Predictive Qualities of the Timed Up and Go Test in Home Healthcare. 在家庭医疗保健中,时间Up and Go测试的预测质量。
Home healthcare now Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI: 10.1097/NHH.0000000000001414
Sean Finstrom, Sara Arena
{"title":"Predictive Qualities of the Timed Up and Go Test in Home Healthcare.","authors":"Sean Finstrom, Sara Arena","doi":"10.1097/NHH.0000000000001414","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001414","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 2","pages":"119-120"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327426","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
Rising Costs, Rising Risks: What's Driving Home Healthcare Claims. 成本上升,风险上升:是什么推动了家庭医疗保健索赔?
Home healthcare now Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI: 10.1097/NHH.0000000000001420
Jennifer Flynn
{"title":"Rising Costs, Rising Risks: What's Driving Home Healthcare Claims.","authors":"Jennifer Flynn","doi":"10.1097/NHH.0000000000001420","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001420","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 2","pages":"130-131"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327445","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
Investigating the Role of Occupational Therapy in Palliative Care: A Literature Review. 职业治疗在缓和疗护中的作用:文献回顾。
Home healthcare now Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI: 10.1097/NHH.0000000000001415
Carlie Liseo, Daniel Martin
{"title":"Investigating the Role of Occupational Therapy in Palliative Care: A Literature Review.","authors":"Carlie Liseo, Daniel Martin","doi":"10.1097/NHH.0000000000001415","DOIUrl":"10.1097/NHH.0000000000001415","url":null,"abstract":"<p><p>Occupational therapy's (OT) scope of practice aligns with the services provided for clients receiving palliative care (PC). Despite this, other home healthcare professions do not well understand OT interventions or their efficacy. As such, it is essential to review existing literature to define the roles and functions of OT in PC and to better clarify their role in the home healthcare multidisciplinary team. The objective of this review was to define the themes of effective OT within PC and identify how OT may benefit clients with serious illness using an extensive review of the literature. To explore this question, databases including PubMed, the Cochrane Library, MEDLINE Ultimate, Consumer Health Complete, Google Scholar, and ScienceDirect were searched. Thirty studies met the criteria addressing OT in PC and were analyzed for common themes. Three themes regarding the provision of OT services to PC patients were identified: engaging in meaningful activities to increase quality of life (QOL), symptom management and comfort, and supporting caregivers and client environments. OT can play a pivotal role in catering to PC clients' needs by promoting occupational engagement, alleviating symptoms, and modifying environments. This review offers recommendations for OT service provision in palliative care, clarifying the profession's role within multidisciplinary home healthcare teams.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 2","pages":"97-104"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327403","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
Different Paths, One Purpose: Enhancing and Improving Home Care. 不同的路径,一个目的:加强和改善家庭护理。
Home healthcare now Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI: 10.1097/NHH.0000000000001425
{"title":"Different Paths, One Purpose: Enhancing and Improving Home Care.","authors":"","doi":"10.1097/NHH.0000000000001425","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001425","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 2","pages":"73-74"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327353","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
An Outcomes-Based Comparison of Nurse Residency Graduates to Their Peers in Home Health Setting. 基于结果的护理住院医师毕业生与同行在家庭健康环境的比较。
Home healthcare now Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI: 10.1097/NHH.0000000000001424
Nancy J Linscheid, Russell F Byrne
{"title":"An Outcomes-Based Comparison of Nurse Residency Graduates to Their Peers in Home Health Setting.","authors":"Nancy J Linscheid, Russell F Byrne","doi":"10.1097/NHH.0000000000001424","DOIUrl":"10.1097/NHH.0000000000001424","url":null,"abstract":"<p><p>This study serves as a review of quality outcome scores for graduates of accredited nurse residency programs (NRP) compared with their case management peers. Although accredited NRPs have been shown to provide organizational benefits, the focus of this study centers on patient outcomes. We reviewed outcomes including Total Normalized Change (TNC) mobility, TNC self-care, Potential Preventable Hospitalization (PPH), 60 Day Acute Care Hospitalization (ACH), Discharge Function Score (DFS), Oral Meds, Ambulation, Dyspnea, Bed Transfers, and Bathing to determine the effectiveness of NRP graduates. Through our review and comparison, we determined that graduates of an accredited NRP perform at the same level or better than their case manager peers who have more experience in nursing. Our study indicates that organizations that benefit from improved retention and job satisfaction related to NRPs may also benefit from improved outcomes.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 2","pages":"105-109"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327614","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
Being a Parent Again: The Gift of Home Healthcare to Mothers Caring for a Child With Cancer-A Qualitative Study. 再次为人父母:家庭保健给照顾癌症儿童的母亲的礼物——一项定性研究。
Home healthcare now Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI: 10.1097/NHH.0000000000001422
Evanthia Daniilidou, Stelios Parissopoulos, Ourania Govina, Eugenia Vlachou, Theodoula Adamakidou
{"title":"Being a Parent Again: The Gift of Home Healthcare to Mothers Caring for a Child With Cancer-A Qualitative Study.","authors":"Evanthia Daniilidou, Stelios Parissopoulos, Ourania Govina, Eugenia Vlachou, Theodoula Adamakidou","doi":"10.1097/NHH.0000000000001422","DOIUrl":"10.1097/NHH.0000000000001422","url":null,"abstract":"<p><p>Caring for a child with cancer at home presents significant emotional and practical challenges. Pediatric home healthcare (HHC) services can offer vital support, yet little is known about parental experiences in Greece. Guided by Meleis' Transition Theory, this qualitative phenomenological study explored the lived experiences of seven mothers whose children received HHC from Floga, a pediatric oncology organization in Athens. Semi-structured interviews were conducted in April-May 2024, and data were analyzed using Braun and Clarke's thematic analysis, supported by Atlas.ti. One overarching theme emerged: \"Becoming a parent again thanks to HHC,\" capturing how HHC eased the transition from hospital to home by helping mothers reclaim their parental role. Two sub-themes illustrated this: (A) \"Reintegration into life at home: returning to normality, a God-sent gift.\" highlighting restored routines, emotional relief, and trust in HHC nurses; and (B) \"Emotional healing and managing fears through the 'hug' of HHC,\" describing lingering trauma and the sense of safety HHC provided. Mothers also identified unmet needs, including limited psychosocial support and staffing constraints. Overall, HHC enhanced family well-being; by offering emotional stability, practical assistance, and supportive transitions. Strengthening pediatric HHC in Greece will require greater investment in staffing, psychosocial resources, and equitable access.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 2","pages":"85-96"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327256","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
When AI Writes the Note: Ensuring the AI Dividend Strengthens, Not Replaces, Clinical Reasoning. 当人工智能写下笔记:确保人工智能红利加强而不是取代临床推理。
Home healthcare now Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI: 10.1097/NHH.0000000000001423
Linda Krulish
{"title":"When AI Writes the Note: Ensuring the AI Dividend Strengthens, Not Replaces, Clinical Reasoning.","authors":"Linda Krulish","doi":"10.1097/NHH.0000000000001423","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001423","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 2","pages":"125-126"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327410","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
Culturally Congruent American Indian/Alaskan Native Perinatal Home Visiting: A Call to Action. 文化一致的美国印第安人/阿拉斯加土著围产期家访:行动呼吁。
Home healthcare now Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI: 10.1097/NHH.0000000000001413
Autaquay Peters-Mosquera, Melissa Anne DuBois, Chyla Bingham-Hendricks, Cedric Woods, Teri Aronowitz
{"title":"Culturally Congruent American Indian/Alaskan Native Perinatal Home Visiting: A Call to Action.","authors":"Autaquay Peters-Mosquera, Melissa Anne DuBois, Chyla Bingham-Hendricks, Cedric Woods, Teri Aronowitz","doi":"10.1097/NHH.0000000000001413","DOIUrl":"https://doi.org/10.1097/NHH.0000000000001413","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 2","pages":"128-129"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327312","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
Older Adults' Experience of Person- and Family-Centered Care During the Discharge Planning Phase From Hospital to Home. 老年人在出院计划阶段从医院到家庭的以个人和家庭为中心的护理经验。
Home healthcare now Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI: 10.1097/NHH.0000000000001421
Julie Schmidt, Irene Ngu, Kathy Alarcon, Alexa Hartley, Patrick Clifford, Celina Carter
{"title":"Older Adults' Experience of Person- and Family-Centered Care During the Discharge Planning Phase From Hospital to Home.","authors":"Julie Schmidt, Irene Ngu, Kathy Alarcon, Alexa Hartley, Patrick Clifford, Celina Carter","doi":"10.1097/NHH.0000000000001421","DOIUrl":"10.1097/NHH.0000000000001421","url":null,"abstract":"<p><p>The Ontario Health Team (OHT) is a partnership of healthcare organizations that provides services to residents across Ontario, Canada. With an aging population and increasing care complexities, the OHT identified challenges in transitions from hospital to home for older adults. To better understand these experiences, the OHT steering committee partnered with the Registered Nurses' Association of Ontario (RNAO) to conduct a quality assessment study focused on person- and family-centred care during discharge planning. Using a holistic descriptive case study approach, the project team followed three older adult participants through observation and in-depth interviews to examine how interactions between clinicians, patients, and families reflected core principles of person- and family-centred care. Findings highlighted the vulnerability associated with hospital-to-home transitions and emphasized the need for enhanced support and resources during this period. Although participants generally reported satisfaction with their care and positive therapeutic relationships, several improvement opportunities were identified. Key recommendations include providing targeted education on effective communication with older adults, adopting standardized communication tools, and prioritizing home safety assessments before discharge to ensure appropriate equipment selection and fit. These strategies can strengthen transition processes and improve experiences for older adults within the OHT.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"44 2","pages":"75-84"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327389","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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