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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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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:
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Restorative Care01:19

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Methods of Documentation VI: Case Management Model01:15

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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.
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Planning Nursing Care I01:21

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Data Collection II01:29

Data Collection II

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The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and...
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Related Experiment Video

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Home-Based Monitor for Gait and Activity Analysis
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Preliminary Data on a Care Coordination Program for Home Care Recipients.

Katie M Dean1, Laura A Hatfield1, Anupam B Jena1

  • 1Harvard Medical School, Boston, Massachusetts.

Journal of the American Geriatrics Society
|August 11, 2016
PubMed
Summary

A pilot program helps home care providers identify and manage patient health changes at home, aiming to reduce hospitalizations. This intervention shows promise in improving patient outcomes and potentially lowering healthcare costs.

Keywords:
agingcare coordinationhome carehospitalizations

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Area of Science:

  • Gerontology
  • Health Services Research
  • Nursing

Background:

  • Home care recipients frequently experience hospitalizations for preventable reasons.
  • Effective early detection of clinical changes in home care is crucial for patient well-being.
  • Existing systems may lack robust mechanisms for timely intervention in home care settings.

Purpose of the Study:

  • To introduce and evaluate the Intervention in Home Care to Improve Health Outcomes (In-Home) pilot program.
  • To assess the feasibility of using caregiver-reported data to identify acute clinical changes.
  • To determine the potential of the In-Home program to reduce avoidable hospitalizations.

Main Methods:

  • A telephone-based "clock-out" system for caregivers to report patient condition changes.
  • Electronic capture and transmission of caregiver-reported data to agency care managers.
  • Pilot testing across 22 home care offices with data collection over a 6-month period.

Main Results:

  • Caregivers reported a change in condition after 2% of all shifts.
  • An average of 1.9 changes per care recipient were noted over 6 months.
  • Behavior and skin condition changes were the most frequently reported, with positive caregiver/manager feedback despite some implementation challenges.

Conclusions:

  • The In-Home program demonstrates potential for identifying acute clinical changes in home care recipients.
  • Caregiver-reported data can be a valuable tool for proactive health management.
  • Further research in an ongoing randomized trial will assess the program's impact on hospitalizations, costs, and healthcare outcomes.