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Home Care Nursing Using an Accreditation Approach

ISBN-10: 1401852335

ISBN-13: 9781401852337

Edition: 2008

Authors: Patsy Anderson, Deolinda Mignor

List price: $113.95
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Description:

Home Care Nursing: Using an Accreditation Approach, is an overview of homecare from the time a patient enters the homecare system to the patient is discharged. You can be confident that Home Care Nursing offers you the solid foundation needed in home care, as the entire book is based on the categories of the Joint Commission for Accreditation of Healthcare Organizations (JCAHO). The material is organized in two parts. Part I: Clinical Operations and Client Care, covers history of homecare and hospice, then progresses to the homecare visit, including such topics as safety, infection control, and client and family education. Part II, Administrative Operations, addresses those topics which are the nuts and bolts of a successful homecare organization. It begins with leadership and progresses to topics related to legal and ethical issues, quality improvement, and technology.
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Book details

List price: $113.95
Copyright year: 2008
Publisher: Delmar Cengage Learning
Publication date: 4/2/2007
Binding: Paperback
Pages: 288
Size: 7.50" wide x 9.25" long x 0.75" tall
Weight: 1.100
Language: English

Foreword
Preface
Acknowledgements
Contributors
Reviewers
About the Authors
Clinical Operations & Client Care
Home Care: A Long and Proud History
Main Factors Underlying the Growth of Home Care
Home Care: A Proud History
Definitions of Home Care
Governmental and Accreditation Organizations
Home Care Today
Hospice
Medicare and Hospice
The Newest Home Care Services
Summary
Care and Services
Disciplines and Roles
Physicians
Registered Nurses
Licensed Practical or Vocational Nurses
Therapists
Physical Therapists
Occupational Therapists
Speech/Language Therapists
Social Workers
Home Care Aides
Durable Medical Equipment Companies
Plan of Care and Physician's Orders
Coordination of Services
Outcomes and Assessment Information Set (OASIS)
The Home Care Nurse Visit
Conducting the Home Care Nurse Visit
Organizing the Visit
Safety
Assessment
Implementation of Procedures/Treatments
Monitoring Medication Therapy
Teaching
Documentation
Medications and the Elderly
Medication Use and Misuse
Guidelines for Enhancing Compliance
Working with Clients' Caregivers
Identify High-Risk Areas
Psychological and Emotional Strain
Physical Strain
Set Priorities
Educate the Caregiver
Discharge Planning
Continuity of Care
Use of the Nursing Process in Discharge Planning
Assessment
Nursing Diagnosis
Planning
Implementation
Evaluation
Summary
Client Education
The Home Care Nurse-Educator
Theories of Learning/Teaching
Adult Learning Theory
Teaching/Learning Needs Assessment
Mental Status
Physical Status
Vision
Hearing
Motor Function
Literacy
Literacy Level
Determining Literacy Level
Cultural Background
Teaching
Development of a Teaching/Learning Plan
Assessing Learning Needs and Readiness to Learn
Identifying Goals and Developing Learning Objectives
Implementing the Plan
Evaluation of the Teaching/Learning Plan
Documentation of the Teaching/Learning Plan
Technology and Teaching
Summary
Infection Control
Chain of Infection
Infection-Control Program
Focused or Targeted Infection Surveillance
Employee Health
Infectious Organisms in Home Care
Pulmonary Tuberculosis
Pertussis
Influenza and Avian Influenza
HIV/AIDS and Hepatitis
Severe Acute Respiratory Syndrome (SARS)
Multidrug-Resistant Organisms
Methicillin-Resistant Staphylococcus Aureus (MRSA)
Community-Acquired Methicillin-Resistant Staphylococcus Aureus
Vancomycin-Resistant Enterococcus
Pediculosis and Scabies
Tools for Infection Control in Home Care
Hand Hygiene
Gloves
Transmission-Based Precautions
General Precautionary Guidelines
Contact Precautions
Droplet Precautions
Airborne Precautions
Airborne NIOSH-Approved Respirator/Mask
Immunocompromised Precautions
Home Care Bag Technique
Hazardous Waste and Contaminated Items
Equipment Cleaning and Biomedical Spills
Employee Evaluations
Client Care Procedures
Infection Reporting
Client Teaching
Summary
Safety and Environment
Conceptualizing Safety in Home Care
Who Makes Home Visits
Perception of Safety
Contributors to Safety
Phases of the Home Visit
Antecedent Phase
Getting to the Client's Home
Environmental Assessment
Client Assessment
Risky Diagnoses
Supplies and Equipment
Ergonomics
Medications
Pets
Nurse Self-Assessment
Agency Assessment
Making the Home Visit
Activities of Daily Living
Home Conditions
Leaving the Home and Returning to the Agency
The Threat of Violence
Summary
Infusion Therapy: High-Tech Home Care Concerns and Issues
Clinician Safeguards
Setting Priorities
Client Assessment for Home Infusion Therapy
Condition of the Client and the Environment
Therapy Administration
Health Care Provider
Infusion Access Devices
Subcutaneous Infusion Devices
Peripheral Intravenous Access Devices
Complications
Central Venous Access Devices
Peripherally Inserted Central Catheter
Non-Tunneled CVAD
Tunneled CVAD
Implanted CVAD (Implanted Port)
Pumps and Infusion-Delivery Systems
Intravenous Push (IV Push) Medications
Medication Delivery via Gravity or Dial-a-Flow Pumps
Stationary (Pole-Mounted) Pumps
Elastomeric Pumps
Ambulatory Pumps
Intraspinal Infusions
Infusion Adapters and Caps
Client and Caregiver Education
Summary
Administrative Operations
Leadership
Governance
Advisory Group
The Leadership Team
Home Care Administrator
Director of Nurses
Financial Services Leader
Information Management Leader
Performance Improvement and Quality Manager
Specialty Leadership Positions
Organizational Structure
Organizational Charts
Policies and Procedures
Policies Related to Client Safety
Planning, Designing, and Providing Services
Providing Services
Provision of Resources
Staffing Plans and the Provision of Care
Information Management Planning
Emergency Management Planning
Strategic Planning
Annual Program Evaluation
Evaluation of Scope of Care
Evaluation of Client Care
Financial Planning and Management
Prospective Payment System
Development of the Financial Plan
Budget Formats
Contracts
Contracts with Other Entities
Contract to Provide Services
Quality Management and Performance Improvement
Performance Improvement Plan
Compliance Plan
Summary
Legal Issues
Nursing Practice and Licensure
A Brief History of Licensure
Nurse Practice Acts
Standards of Practice
Regulatory Agents
Client Rights
Client Bill of Rights
Health Insurance Portability and Accountability Act (HIPAA)
Confidentiality
Client
Records
Informed Consent
Written Consent
Implied Consent
Informed Refusal
Client Self-Determination Act
Advance Directives
Living Will
Durable Power of Attorney for Health Care
Issues of Concern
Negligence and Neglect
Malpractice
Abuse
Abandonment
Tele-Health
Impact of the Legislative Process
Summary
Ethics in Home Care and Hospice
Overview of Ethics and Morality
Virtue and Communitarian Ethics
Communitarian Ethics
Virtue Ethics
Truthfulness
Compassion
Moral Courage
Equanimity
Just Generosity
Moral Agency
Autonomy
Vulnerability and Dependability
Competence
Dignity and Dementia
End of Life
Death Anxiety
Withholding and Withdrawing Life Support
Voluntary Stopping Eating and Drinking
Rule of Double Effect
Terminal Sedation
Physician-Assisted Suicide
Rational Suicide
Summary
Quality Improvement
Quality
Perspectives on Quality
Quality Improvement
Quality Experts
W. Edwards Deming
Joseph Juran
Philip Cosby
Health Care's History of Quality
Performance Improvement
Performance-Improvement Methods
Plan-Do-Check-Act
Focus
Joint Commission Model
Six Sigma
Performance Improvement Tools
Control Charts
Histograms
Run Charts
Line Graphs
Scatter Diagrams
Cause and Effect, Fishbone, or Ishikawa Diagrams
Flowcharts
Outcome-Based Quality Improvement Systems
Home Health Compare
Summary
Management of Human Resources
Recruitment of Staff
Orientation, Training, and Education
Organization Mission Statement
General Organization Policies
Competencies
Preceptorship
Retention of Staff
Exit Interview
Employment Satisfaction Survey
Management Visibility
Personnel Records
Summary
Informatics and Technology
History of Informatics in Health Care
Assessment of Client Needs
Types of Tnformatics/Technology in Home Care
Noncomputer Technologies
Tele-Home Care
Telemonitors and Videophones
Messaging Devices
Digital Cameras
Point-of-Care Documentation
Personal Digital Assistants
Advantages of Information Technology in Home Care
Clients
Caregivers
Home Care Professionals
Disadvantages of Information Technology in Home Care
Looking to the Future
Governmental Influences
Nongovernmental Influences
Summary
Glossary
Index