Related Experiment Videos
Complexity in geriatric home healthcare
Christopher Murtaugh1, Timothy Peng, Annette Totten
1Visiting Nurse Service of New York, Center for Home Care Policy and Research, New York, NY, USA. chris.murtaugh@vnsny.org
Summary
Older adults in home healthcare often have multiple chronic conditions and cognitive impairment, leading to longer stays. Geriatric home care must address these complex needs effectively.
Area of Science:
- Geriatric Medicine
- Home Healthcare
- Health Services Research
Background:
- The aging global population presents increasing challenges in healthcare.
- Chronic conditions and cognitive impairment are prevalent among older adults.
- Home healthcare services are crucial for managing complex patient needs.
Purpose of the Study:
- To analyze the clinical complexity of older adults admitted to home healthcare.
- To utilize national administrative data for a comprehensive assessment.
- To identify key factors influencing home healthcare utilization in older populations.
Main Methods:
- Descriptive analysis of national administrative data.
- Utilized Outcome and Assessment Information Set (OASIS) assessments.
- Focused on patients discharged in 2004 and 2005.
Main Results:
- Multiple chronic conditions are common in older home healthcare patients.
- Cognitive impairment is frequently observed in this population.
- These factors are associated with extended lengths of stay in home healthcare.
Conclusions:
- Home healthcare for older adults is characterized by significant clinical complexity.
- Effective geriatric home healthcare requires addressing multiple morbidities.
- Integrated care models are needed to manage cognitive function alongside chronic diseases.
Related Concept Videos
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:15Drug Dosing: Geriatric Patients
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:25Continuing Care
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
01:28Current Trends in Nursing I
Current trends in nursing include:
01:26Traditional Level Of Health Care System
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...