{"title":"Home care nursing in 1920.","authors":"Maureen Anthony","doi":"10.1097/NHH.0000000000000135","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000135","url":null,"abstract":"","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 9","pages":"513-4"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000135","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32707701","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":"A day in the life of a home care nurse in Hawaii.","authors":"Brenda Elliott","doi":"10.1097/NHH.0000000000000119","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000119","url":null,"abstract":"","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 8","pages":"503-4"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32625663","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}
Kristen A Sethares, Heather E Flimlin, Kathleen M Elliott
{"title":"Perceived benefits and barriers of heart failure self-care during and after hospitalization.","authors":"Kristen A Sethares, Heather E Flimlin, Kathleen M Elliott","doi":"10.1097/NHH.0000000000000125","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000125","url":null,"abstract":"<p><p>This longitudinal study describes the heart failure (HF) patient's perceived benefits and barriers to self-care during hospitalization, 1 week, and 1 month after hospitalization. Seventy-eight patients with acute HF completed the Health Belief Scales to determine the greatest benefits and barriers to self-care at each time point. Findings suggest that early benefits to performing self-care include reducing symptoms and improving quality of life. Later benefits focus more on promoting health. Barriers to self-care include forgetfulness and knowledge deficits about self-care behaviors. At 1 month, 15.1% to 48.5% patients reported that monitoring increases worry about HF. Home care clinicians can promote self-care through education and skills training. </p>","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 8","pages":"482-8"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000125","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32625657","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}
Alison Minkin, Jill Snider-Meyer, Debra Olson, Susan Gresser, Heather Smith, Frederick J Kier
{"title":"Effectiveness of a motivational interviewing intervention on medication compliance.","authors":"Alison Minkin, Jill Snider-Meyer, Debra Olson, Susan Gresser, Heather Smith, Frederick J Kier","doi":"10.1097/NHH.0000000000000128","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000128","url":null,"abstract":"<p><p>This study investigated the effectiveness of training geriatric home-based primary care (HBPC) nursing staff in motivational interviewing (MI) techniques, with the goal of increasing patient medication adherence. Nursing staff received 4 hours of training in MI techniques from a licensed psychologist. Results indicated that the MI training increased medication adherence in the HBPC veteran sample by a small, but statistically significant, margin both 1 month and 6 months after the intervention. Although the effect size may be considered small, the clinical and cost ramifications of even a small gain in adherence are extremely important for the patient, clinician, and the medical facility. MI techniques may provide a cost-effective and impactful means of enhancing patient adherence to medications. </p>","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 8","pages":"490-6"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32625658","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":"Hepatitis B outbreaks in home healthcare.","authors":"Mary McGoldrick","doi":"10.1097/NHH.0000000000000133","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000133","url":null,"abstract":"T he monitoring of a patient’s blood glucose level is an important component of routine diabetes care. In home care and hospice patients, capillary blood is typically sampled using a fingerstick device and tested with a portable blood glucose meter. During this procedure, the Hepatitis B virus (HBV) can be easily transmitted if infection prevention and control procedures are not meticulously adhered to. The first reported outbreak of HBV associated with the use of a fingerstick device in the United States was in 1990 (Centers for Disease Control and Prevention [CDC], 1990). Since that time, long-term care facilities have been found to be a common setting for the transmission of HBV. To prevent outbreaks of HBV infections associated with blood glucose monitoring, the CDC and the Food and Drug Administration (FDA) have recommended that fingerstick devices be restricted to individual use (CDC, 2011; FDA, 2010). Even as such, 87% of the HBV outbreaks reported in the United States between 2008 and 2013 were associated with infection control breaches during assisted monitoring of","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 8","pages":"500-1"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32625661","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":"Care coordination in long-term home- and community-based care.","authors":"Barbara Johansson, Jane Harkey","doi":"10.1097/NHH.0000000000000126","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000126","url":null,"abstract":"<p><p>This article examines the role of care coordination, when fulfilled by a professional board-certified case manager, in successful long-term home- and community-based care (HCBC). A facet of care coordination, as also discussed, is a robust assessment of the individual by the professional case manager, who devises and implements a comprehensive care plan to address the clinical, psychosocial, and environmental needs of the individual as part of a person-centered, evidenced-based approach. To be successful, long-term HCBC starts with a robust assessment of the individual by a professional board-certified case manager. The case manager uses specific tools that incorporate qualitative measurements to address factors such as medical/clinical needs, (e.g., diagnoses, chronic conditions, and/or health risks); mental/behavioral health (e.g., geriatric depression screening); medication/pharmacology (e.g., review and reconciliation of prescribed and over the counter medications and supplements) and the individual's ability to self-administer; home safety; and presence of a family/support system and their ability and willingness to provide care. Based on these findings, the case manager puts in place a comprehensive care plan, working with a well-coordinated multidisciplinary team, including informal supports, physicians, registered nurses, occupational therapists, pharmacists, social workers, nutritionists, and other allied health professionals. From the beginning, the rigor of care coordination is essential to the how successfully individuals and their families/support systems realize their goal of long-term HCBC. </p>","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 8","pages":"470-5"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000126","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32625655","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":"Understanding the patient-centered medical home.","authors":"Katherine J Moran, Rosanne Burson","doi":"10.1097/NHH.0000000000000127","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000127","url":null,"abstract":"<p><p>The patient-centered medical home (PCMH) is a team approach used to provide comprehensive care for patients in primary care settings that uses partnerships between patients and families, physicians, and other members of the healthcare team including home healthcare nurses. The goal of the PCMH model is to provide safe, high-quality, affordable, and accessible patient-centered care by promoting stronger relationships with patients, addressing care needs more comprehensively, and providing time to coordinate care across all sectors of the healthcare system. Home healthcare clinicians who have a deep understanding of the impact of community and family system interplay will have an important role in linking the home environment with the primary care based PCMH to assist patients to achieve optimal outcomes. </p>","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 8","pages":"476-81"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32625656","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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