Home Healthcare Patients Essay

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Home Healthcare Patients Essay

Question:

The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes. Home Healthcare Patients Essay.
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
A proposed solution to the identified project topic

Answer:

Reducing the rate of Re-hospitalization in home healthcare patients

This project will focus on highlighting aspects that concern is reducing the rates of re-hospitalisation in home healthcare patients. Since re-hospitalisation trends have indicated a rise in the country currently, some of the elements under study include the initiatives to be put in place to ensure there is a reduction in the rate of re-hospitalisation in home healthcare patients. Another aspect will be to identify plans whose role will be to ensure a successful implementation of the identified preventive initiatives. Some preventive actions can be implemented to curb re-hospitalisation. The preventive efforts to be addressed in this report include introducing patient seminars. Home Healthcare Patients Essay. The home healthcare providers can also create programs to identify patients who are at high risk of getting re-hospitalised and ensure they are monitored closely (Brook, Mitchell, Irby, Stevens, & Archibald, 2013).

This initiative can be applied and monitored in the case scenario of chronic obstructive pulmonary disease (COPD). Patients suffering from this illness often experience cases of being re-hospitalised (Niti, Tan, Cao, & Ng, 2007). In this case, applying the two preventive initiatives can help in controlling the trends of re-hospitalisation in patients with COPD. For instance, a system can be put in place by the healthcare provider to identify how risky or severe is the patient’s health conditions (Zwerink et al. 2014). The identification of the risk level will help the healthcare provider attend to the patients appropriately based on how close a patient’s health conditions need to be monitored. Alternatively, creating frequent conferences that help strengthen the patient-physician relationship and also share information on patients’ self-management can help curb re-hospitalisation in COPD patients.

Generally, the two preventive initiatives are meant to create a close patient, and physician relationship, this way, the physician can closely monitor the patient to help avoid cases of re-hospitalisation. The risk level identification initiative helps improve the appropriateness and quality of healthcare to each respective patient. This is because, through risk level evaluation, the healthcare provider can understand the stability of each patient’s health conditions and can, therefore, identify which patient still needs additional attention. Home Healthcare Patients Essay.The patients’ seminars on the hand help to determine the general success steps accomplished in the recovery process and discussions on the best way to manage some unique and complex cases. The patient seminars are also meant to help in curbing re-hospitalisation by enhancing communication between patients and the health providers (Bach & Hayes, 2002).

This initiative will have a different influence on the working environment, quality of care and patient health outcomes. Firstly, since these initiatives are concerned with improving patient-physician relationship, they will have a positive influence regarding creating a conducive and free environment for both the patient and the physician. Secondly, since the patient and the physician

Home Health Care and the Value of the Registered Nurse

The home health care system is one of the fastest growing industries in America. Today, there has been a vast growth of services with approximately 7.6 million clients receiving care from about 83,000 providers (National Association for Home Care and Hospice, 2008, pg 1). This is an increase of 63,000 suppliers since 2004. Factors affecting these figures are; an aging population, rising health care costs, reimbursement plans, advances in technology, and a trend of clients desiring this avenue of care for various health related restrictions. Home health care encompasses the collaborative efforts of various professionals

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As providers of care, the role of patient advocate is essential to the development of the home relationship. Nurses advocate for the client by having discussions about their individual rights of health care. Home Healthcare Patients Essay.The patient’s wishes, which may be disclosed in Advanced Directives such as Living Wills, or Powers of Attorneys, are always protected. Another major function of the RN is to perform a comprehensive assessment that not only includes the patient, but their family or caregiver, the home environment, and the surrounding community. A plan of care is then formulated by such collective information including physician’s orders, third-party payer reimbursement, treatment required, and collaborative efforts of other healthcare professionals needed for the delivery of care. Advances in technology have made it easier for the home health nurse to communicate with the home health agency and update a client’s information on a daily basis via computer systems. The role of patient teaching in home health care nursing cannot be overemphasized. Nurses in this field are highly educated in preventing disease-related problems, promoting optimal health and encouraging independence within the client to their fullest potential. The goal is to maximize the patient’s ability to function at home with the hope of reintegrating them back into society. Areas of teaching

Home health care, also referred to as “in-home care,” “domiciliary care,” or “social care, is medical care provided by a skilled nurse to a patient in their own home, the home of a family member, or an assisted living facility (In Home Care Online). “The purpose of home care is to promote, maintain, or restore a patient ‘s health and reduce the effects of disease or disability. The goal of home care is to provide for the needs of the patient while allowing the patient to remain living at home, regardless of age, social and economic class, or degree of disability” (Encyclopedia of Surgery Online). Individuals who need home health care require some level of medical intervention to promote their health and well-being usually while convalescing from an injury or an illness. Home Healthcare Patients Essay. For the family, home care services are typically employed when a patient’s family wants the peace of mind knowing their loved ones are receiving the care they need. For the patients, it is feeling more comfortable in the safe and familiar environment of their own home, which in turn leads to less anxiety.
Who benefits from home care services?
 Elderly patients in the early stages of dementia which enables them to continue living in a safe and familiar place for a longer period of time.
 Disabled individuals so they do not have to transfer to a nursing home or rehabilitation center for additional care. They can continue living in their home maintaining a sense of peace and self-sufficiency.
 Individuals who require continued rehabilitative services but no longer fit the hospital service’s criteria for assistance.
 Families and caregivers so they no longer have to worry about the safety of their loved ones. The home health care team is able to perform the care d……our home. This is what we have to remember about the beauty of home care: it’s at home” (Weisfeld Online).
All in all, the lack of data available to substantiate the time and care that are actually provided to a patient through home health care services is a major factor when it comes to getting the recognition and full compensation patients deserve. It is sad that the data collected by individual home health agencies is out there and has been collected for well over fifteen years but has not been evaluated. While individual home health agencies collect evidence of services they provide, the data is unclear as to the total time allotted for services, employee’s specialties, or types of coverage that will produce better patient outcomes. The available data also fails to detail services not covered through Medicare and Medicaid but are paid for by the patient directly. Home Healthcare Patients Essay.

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