Despite a history that coincides with the medicare-funded home health program the private nonprofit (PNP) home health agency does not appear to have been the focus of any extensive or objective examination. Herein tha...
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Every community is or will be faced with the challenge of caring for individuals with acquired immunodeficiency syndrome (AIDS) and AIDS-related complex (ARC). In most communities in the United States, home health car...
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Every community is or will be faced with the challenge of caring for individuals with acquired immunodeficiency syndrome (AIDS) and AIDS-related complex (ARC). In most communities in the United States, home health care is an existing alternative to hospitalization. Although there are many potential barriers to home health and hospice care provision, these barriers are not insurmountable. As demonstrated by the community's response in San Francisco, careful planning, cooperation, and education reduce the barriers to allow persons with AIDS/ARC to receive care at home or to identify alternatives when home care is no longer an option. The AIDS Home Care and Hospice Program of the Visiting Nurses and Hospice of San Francisco is used as the model for the article. This program was the first of its kind in the world. It has developed an innovative approach to home and hospice care for persons with AIDS/ARC. Its sensitive and humane approach, offers support from early in the disease process (to assist patients as they struggle with difficult treatment decisions) until long after death occurs (to enable friends and family members to cope with the loss of a loved one). This article identifies the challenges that administrators and staff face in keeping the terminally ill individual with AIDS/ARC at home, offers suggestions to best meet the needs of the person with AIDS/ARC living at home, and suggests alternatives when home care is no longer an option.
The inclusion of the occupational therapist as a member of the treatment team for cardiac rehabilitation is a new approach used by Durham Regional Home Care Program. The cardiac classifications and the energy costs of...
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The home healthcare staff nurse faces formidable challenges that can be met only by an extraordinary commitment to quality care. Functioning autonomously much of the time, the home healthcare nurse must act as the cli...
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The home healthcare staff nurse faces formidable challenges that can be met only by an extraordinary commitment to quality care. Functioning autonomously much of the time, the home healthcare nurse must act as the client's case manager. Coordination of multiple services and extensive client education are vital to positive outcomes, and intervention decisions must be based on a holistic view of the client's needs and environment. Reimbursement issues under Medicare often conflict with the delivery of high-quality care. To achieve the goals of the home healthcare agency and perform optimally, the home healthcare nurse needs a supportive QA program and frequent peer review procedures.
If home care providers have computers and Internet connections at work or home, they can access the latest information regarding their clients' diseases, communicate with colleagues by electronic mail (E-mail), ac...
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If home care providers have computers and Internet connections at work or home, they can access the latest information regarding their clients' diseases, communicate with colleagues by electronic mail (E-mail), access government health care policies affecting home care, and much more. The Internet's increased popularity and utilization are a result of high-speed, high-capacity personal computers and related equipment and the development of easy-to-use graphics-intensive software.
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