Home healthcare nowPub Date : 2024-03-01Epub Date: 2024-03-04DOI: 10.1097/NHH.0000000000001252
Maureen Anthony
{"title":"Attracting Nurses to Home Care.","authors":"Maureen Anthony","doi":"10.1097/NHH.0000000000001252","DOIUrl":"10.1097/NHH.0000000000001252","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 2","pages":"71"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029202","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 : 2024-03-01Epub Date: 2024-03-04DOI: 10.1097/NHH.0000000000001240
Sue Burt, Brenda Elliott
{"title":"Disaster Preparedness in Home Care: Moving Beyond Checklists.","authors":"Sue Burt, Brenda Elliott","doi":"10.1097/NHH.0000000000001240","DOIUrl":"10.1097/NHH.0000000000001240","url":null,"abstract":"<p><p>Disasters have become increasingly common, with hurricanes off the southern, eastern, and western coasts, fires in the northwest, earthquakes, mass shootings, and continuing cases of COVID-19 looming over healthcare systems. Home care agencies have a history of meeting patients' needs during disasters and are strategically positioned to support communities during public emergencies and disasters. However, the \"who\" and the \"how\" of engaging the disaster cycle of mitigation, preparedness, response, and recovery is not always understood by clinicians and leadership. A gap in the literature cries out for better preparedness strategies for home care leadership and staff that go beyond the broad guidance of regulatory and accreditation organizations. This article aims to examine current literature and offer direction to home care leaders and staff as they seek to understand the \"who\" and the \"how\" in preparing for disasters in an increasingly unstable world.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 2","pages":"90-95"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029203","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 : 2024-03-01Epub Date: 2024-03-04DOI: 10.1097/NHH.0000000000001232
Marla J Hayes
{"title":"Non-insulin Medications for the Management of Type 2 Diabetes.","authors":"Marla J Hayes","doi":"10.1097/NHH.0000000000001232","DOIUrl":"10.1097/NHH.0000000000001232","url":null,"abstract":"<p><p>Type 2 diabetes (T2D) is predicted to affect 366 million people over the age of 65 years by the year 2030. As the understanding of the core defects associated with T2D advanced, researchers recognized management should target multiple defects in glucose metabolism. As a result, efforts to manage T2D focus on developing new drug therapies aimed at addressing each of the identified metabolic defects. Optimal treatment of T2D is necessary to decrease the risk for coronary heart disease, stroke, and vascular diseases. This article discusses non-insulin pharmacologic treatments for T2D that are guided by glycemic efficacy, safety profiles, effects on weight and hypoglycemia risk, tolerability, patient comorbidities, route of administration, patient preference, and cost.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 2","pages":"72-77"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029209","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 : 2024-03-01Epub Date: 2024-03-04DOI: 10.1097/NHH.0000000000001222
Alice Tso
{"title":"Spiritual Care in Hong Kong Home Care Nursing.","authors":"Alice Tso","doi":"10.1097/NHH.0000000000001222","DOIUrl":"10.1097/NHH.0000000000001222","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 2","pages":"118-119"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029211","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":"Spiritual Care in Hong Kong Home Care Nursing.","authors":"Alice Tso","doi":"10.23880/nhij-16000307","DOIUrl":"https://doi.org/10.23880/nhij-16000307","url":null,"abstract":"Florence Nightingale Home Health & Nursing (FNHHN) was founded by a group of experienced nurses in Hong Kong in the year of 2020 with a strong intention to provide holistic nursing care to the elderly at home apart from assisted care required with the following identified values.","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"72 9","pages":"118-119"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140087142","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 : 2024-03-01Epub Date: 2024-03-04DOI: 10.1097/NHH.0000000000001237
Nancy Dias, Michelle White, Susan Harmuth, Savannah Horvick
{"title":"A Structured Home Health and Hospice Clinical Rotation and Onboarding Model to Address the Nursing Shortage.","authors":"Nancy Dias, Michelle White, Susan Harmuth, Savannah Horvick","doi":"10.1097/NHH.0000000000001237","DOIUrl":"10.1097/NHH.0000000000001237","url":null,"abstract":"<p><p>North Carolina home health and hospice agencies are experiencing serious shortages of registered nurses (RNs), particularly in rural areas. These shortages can negatively impact patients and families by delaying access to care and possibly resulting in avoidable hospitalizations/rehospitalizations. Many home health and hospice agencies do not hire newly graduated RNs due to limited patient care experience, limited or no opportunity for home health/hospice clinical rotations, and the autonomous nature of providing care in the home. The Hospice and Home Health Foundation of North Carolina was awarded a $468,196 3-year grant, and, in collaboration with key stakeholders, developed a model for clinical rotation experiences in home health and hospice settings for RN students as well as an onboarding model for newly graduated RNs. Seven home health and hospice project partner agencies were selected to pilot the models. This article describes program implementation and evaluation. We used a survey method and site visit interviews to assess program effectiveness. Students provided positive feedback about the clinical rotation and more than 80% indicated their clinical rotation met \"most\" or \"almost all\" of their learning needs. The focus group interviews provided substantive anecdotal examples to validate the survey results.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 2","pages":"78-83"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029201","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 : 2024-03-01Epub Date: 2024-03-04DOI: 10.1097/NHH.0000000000001239
Joanne Benedict
{"title":"Improving the Accuracy of Code Status Documentation in Home Care.","authors":"Joanne Benedict","doi":"10.1097/NHH.0000000000001239","DOIUrl":"10.1097/NHH.0000000000001239","url":null,"abstract":"<p><p>Advance care planning discussions require specialized skills to elicit goals and preferences from patients contending with life-limiting illness. Documentation forms which include Health Care Proxies, Medical Orders for Life Sustaining Treatments, or Physician Orders for Life Sustaining Treatments are meant to accompany patients through every transition of care. However, they are often forgotten between the hospital and the home setting. Home care clinicians have the obligation to ensure all providers involved in the patient's care are made aware of their code status and goals of care. Consequently, home care clinicians need education about advance care planning to support patients in achieving their care goals as they transition from hospital to home. This quality improvement project implemented three consecutive interventions including reminding clinicians to review code status orders, applying short educational interventions at daily nursing huddles via email, and finally, administering primary palliative education classes for home care clinicians. The purpose was to guide home care nurses in reviewing and reaffirming code status orders and advance care documentation at the initiation of the home care episode and to improve the consistency and accuracy of code status documentation at the transition of care. After implementing the interventions to improve code status documentation, compliance improved from 8% to 100% in a 10-month period.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 2","pages":"84-89"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029205","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 : 2024-03-01Epub Date: 2024-03-04DOI: 10.1097/NHH.0000000000001254
Lorraine Porcaro
{"title":"The Language of Diabetes.","authors":"Lorraine Porcaro","doi":"10.1097/NHH.0000000000001254","DOIUrl":"10.1097/NHH.0000000000001254","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 2","pages":"110-111"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029214","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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