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Home intravenous therapy: Part I--Issues
1School of Nursing, University of Washington, Seattle 98103.
Home Health Care Services Quarterly
|December 10, 1990
Summary
Home intravenous therapy presents challenges for home care agencies, including client and caregiver education, staffing, and financial concerns. This paper offers resources to help develop successful home IV therapy programs.
Area of Science:
- Healthcare Management
- Nursing Practice
- Clinical Operations
Background:
- Home intravenous therapy is a significant clinical concern for Medicare-certified home care agencies.
- A 1986 survey identified home IV therapy as a top clinical problem.
Purpose of the Study:
- To address concerns and issues related to home intravenous therapy.
- To provide resources for developing home intravenous therapy programs.
Main Methods:
- Synthesized literature on home intravenous therapies.
- Presented survey results from Northwest home care agencies.
- Discussed client, caregiver, and agency concerns.
Main Results:
- Identified key concerns: discharge planning, admission criteria, education, staffing, economics, regulations, and legal/ethical issues.
- Detailed specific challenges for parenteral nutrition, antibiotic, chemotherapy, and blood therapies.
- Provided a resource guide including national organizations, publications, and state-specific contacts.
Conclusions:
- Home intravenous therapy requires comprehensive planning addressing clinical, educational, financial, and regulatory aspects.
- Resource availability is crucial for successful program development and implementation.
- The paper serves as a guide for agencies establishing or improving home IV therapy services.