Home Health Nursing

HOME NURSING

INTRODUCTION
„ Need for health care at home has been steadily growing in the last two decades. „ Reasons? 1. Drastic Change in Finance 2. Changing Provider role 3. Increased client acuity

INTRODUCTION Cont…
„ Rigid Rules of Third Party Payer are now requiring that certain procedures are to be performed only on out – patient basis. „ Hospital stay for mother and new born have been shortened for less than 48 hours. „ Advancement of machines that can provide dialysis, pain control, and ventilator care at client’s home.

INTRODUCTION Cont…
„ In addition terminally ill clients those with less than 6 months to live find that hospice care allow them to live as fully as possible and die at home rather than at hospital.

TERMINOLOGIES
„ Home Health Care

Refers to all of the services and products provided to clients in their homes to maintain, restore, or promote their physical, and emotional health.

TERMINOLOGIES
„ Home Health Nursing

Is a specialized area of nursing practice with its roots firmly placed in community health nursing

TERMINOLOGIES
„ Durable Medical Equipment

It includes equipment that is used for a long period of time and can be used again by others such as wheel chairs, Walkers, Hospital beds, IV Poles and so on.

THE HOME CARE POPULATION
„ Females „ Elderly Clients
Most Common Diagnoses For Home Care Clients 1.Heart Diseases 2.Diseases of Muscular Skeletal system 3.DM 4.Respiratory Illness 5.Injury & Poisoning

SCOPE AND STANDARDS

Standards of Care
„ Standard – I: Assessment „ Standard – II: Diagnosis „ Standard – III: Outcome Identification „ Standard – IV: Planning „ Standard – V: Evaluation

SCOPE AND STANDARDS
Standards of PROFESSIONAL PERFORMANCE
„ „ „ „ „ Standard – I: Quality of care Standard – II: Performance appraisal Standard – III: Education Standard – IV: Collegiality Standard – V: Ethics

SCOPE AND STANDARDS
Standards of PROFESSIONAL PERFORMANCE
„ Standard – VI: Collaboration „ Standard – VII: Research „ Standard – VIII: Research utilization

TYPES OF HOME CARE AGENCIES
„ „ „ „ „ „ Voluntary Agencies Proprietary Agencies Hospital Based Agencies Official Agencies Homemaker Agencies Hospices

ROLE OF HOME HEALTH NURSE
„ „ „ „ „ „ „ Direct Care Infection Control Client Education Documentation Supervision and case management Determining the financial coverage Determining frequency and duration of service.

Conclusions
Home health nursing is a natural extension of the Family Practice mission to care for individuals and their families throughout their life span.

Reference
„ Judith Ann Allender, Community Health Nursing, 6th edition, Lippincott Williams & Wilkins.

CONCLUSIONS
Nursing Home Care requires compassion and a comforting and caring approach. This work confirms that we can each help improve the end of life for someone we know.