{"title":"Updating the 2017 International Guidelines for Home Health Nursing: Your Voice is Needed!","authors":"Mary Narayan","doi":"10.1097/NHH.0000000000001229","DOIUrl":"10.1097/NHH.0000000000001229","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 1","pages":"58"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378463","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":"End-of-Life Preference Lists as an Advance Care Planning Tool for Japanese People.","authors":"Hidemasa Iki, Akira Nakamura, Kazuko Watanabe, Hiroko Harada, Kyoko Oshiro, Akinori Hiramatsu, Mitsunori Nishikawa","doi":"10.1097/NHH.0000000000001213","DOIUrl":"10.1097/NHH.0000000000001213","url":null,"abstract":"<p><p>Advance care planning (ACP) is important to determine the wishes of patients before they lose decision-making capacity. However, Japanese people are often reluctant to have end-of-life discussions. This study aims to develop and categorize an end-of-life preference list in the Japanese context to encourage dialog about ACP for healthcare providers and patients. A questionnaire was developed with end-of-life choices prioritized by a sample of Japanese subjects. Data were collected either in person or by mail. The list of Japanese preferences was compiled and categorized into four domains: medical care, life and care, relationships, and values, with 11-12 items in each domain. The highest-ranking items chosen by >70% of participants were in the relationships and values domains. Subjects with two cohabitants tended to be biased toward the \"with others\" group, focused on spending time with others, whereas those with older age and higher clinical frailty scale scores tended to be biased toward the \"how to live\" group.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 1","pages":"13-20"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378454","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":"Personalized Care Delivery: The Benefits of Incorporating Four Key Questions into Care Planning.","authors":"Laura Harris","doi":"10.1097/NHH.0000000000001220","DOIUrl":"10.1097/NHH.0000000000001220","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 1","pages":"62-63"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378460","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}
Meghna P Desai, Joseph B Ross, Stephanie Blitzer, Natalie Como, Devin John Horton, Jaimi Ostergar, Carme Hernández, David M Levine
{"title":"Hospital-Level Care at Home for Acutely Ill Adults in Rural Settings: Proof of Concept.","authors":"Meghna P Desai, Joseph B Ross, Stephanie Blitzer, Natalie Como, Devin John Horton, Jaimi Ostergar, Carme Hernández, David M Levine","doi":"10.1097/NHH.0000000000001227","DOIUrl":"10.1097/NHH.0000000000001227","url":null,"abstract":"<p><p>Residents in rural areas face barriers to accessing acute care. Rural home hospital (RHH) or delivery of acute care at home could represent an important clinical care model. This study assessed the feasibility and acceptability of RHH as a substitute to traditional hospital care. Patients were cared for by a remote RHH attending physician and an RHH registered nurse deployed to the home. The study team conducted daily check-ins with RHH clinicians to assess workflows for completion. Surveys assessed patient experience and qualitative interviews assessed perceived acceptability, safety, and quality of care. We completed qualitative analysis of the interviews and coded qualitative data into domains and subdomains through an iterative process. RHH was successfully deployed to three acutely ill patients in rural Utah. RHH admission, daily care, and discharge processes were accomplished for each patient. From qualitative analysis, we identified four domains: (1) Perceived comfort level during RHH admission, (2) Perceived safety during RHH admission, (3) Perceived quality of care during RHH admission, and (4) Perception of RHH workflows. We found acute care was delivered to rural homes with satisfactory patient and clinician experience. Team dynamics, technology build, robust clinical and operational workflows, and care coordination were important to a successful admission. Learnings from this study can inform program design and training for RHH teams and startup for larger RHH evaluation. Home hospital care is expanding rapidly in the United States and RHH could represent an important clinical care model.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 1","pages":"21-30"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378456","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":"In-Home Management of Diabetes and Obesity.","authors":"","doi":"10.1097/NHH.0000000000001243","DOIUrl":"10.1097/NHH.0000000000001243","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 1","pages":"E1"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378458","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":"Diabetes and Home Care.","authors":"Maureen Anthony","doi":"10.1097/NHH.0000000000001218","DOIUrl":"10.1097/NHH.0000000000001218","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"41 6","pages":"297"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434725","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}