ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Home health care agencies face significant challenges as they respond to the changes In reimbursement for health care services. In this era of “out of control” Increases In costs for health services, health care managers must ensure the prudent allocation of health care dollars while maintaining adequate quality of services delivered. One method advocated to accomplish this goal Is a change from a fee-fer-servlce reimbursement system to a managed care model. The patient care pathway, a formatted time line for Interventions and anticipated outcomes, Is an Important tool for health care agencies In responding to the demands of the managed care model. This article describes the development of a patient care pathway In one home health agency. (J WOCN 1995,22: 118-21)

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Burn Injuries present a special challenge to the home health care team. The most severely Injured Individuals are cared for In the hospital, but many patients with bums are cared for at home. Even those cared tor In the hospital will eventually be discharged, and many will be referred for home health care. Coordination of services and a team approach are essential to obtain favorable outcomes. Physicians, nurses, occupational and physical therapists, social workers, psychiatrists, psychologists, case managers, and others collaborate as needed to evaluate and promulgate apian of treatment. The home health care team plays an Important role In this collaboration, assisting the patient to cope with these Injuries and to prevent complications.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The Agency for Health Care Policy and Research guidelines for prediction and prevention of pressure ulcers have encouraged the use of risk assessment tools to Identify those patients most likely to acquire a pressure ulcer. The Braden Scale has been widely tested and shown to be valid for use In acute and long-term care settings. Little data exist, however, on the use of the Braden Scale In the home care setting. This study determined the sensitivity and specificity of Braden Scale scores obtained for home care patients. Pressure ulcer Incidence rate was 17%. Braden Scale scores ranged from 11 to 22. At a score of 18, sensitivity of the tool was 100%; the specificity was only 34%, however, Indicating that the Braden Scale has validity In Identifying patients at risk but has limited predictive ability.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

A significant number of patients with chronlc pain are eared for In the home setting. The home health nurse can play a key role In the home-based management of chronic pain, assessing the pain and Its Impact on the patient and family, communicating with the consulting physician, and coordinating a pain management program In the home. This article provides an overview of the evaluation and treatment of chronic, cancer related pain In the home setting.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID