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Home Healthcare Now
Journal Prestige (SJR): 0.178  Number of Followers: 5  Hybrid journal (It can contain Open Access articles)ISSN (Print) 2374-4529 - ISSN (Online) 2374-4537 Published by LWW Wolters Kluwer  [301 journals]
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- Extraordinary Times
- Authors: Anthony; Maureen
Abstract:
No abstract available
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Anthony; Maureen
- Sepsis: A Review for Home Healthcare Clinicians
- Authors: Durning; Marijke Vroomen
Abstract:
Sepsis is a life-threatening response to infection that affects over 1.7 million people annually in the United States. Although sepsis can strike healthy and active people of all ages, those at highest risk are older adults, infants, and people with chronic illnesses or an impaired immune system. Many people who had sepsis recover and resume life as it was before. However, others require some level of postdischarge home healthcare. Up to 60% of survivors, particularly of severe sepsis and septic shock, are left with cognitive and/or physical limitations. About one-third of all sepsis survivors and more than 40% of older survivors are rehospitalized within 3 months of the initial sepsis diagnosis, most commonly due to a repeat episode of sepsis or another infection. Quality home healthcare follow-up of sepsis patients is paramount in lowering readmission rates, preventing reoccurrence of sepsis, and assisting patients and families during the postsepsis phase of healthcare.
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Durning; Marijke Vroomen
- Workplace Violence Interventions Used by Home Healthcare Workers: An
Integrative Review- Authors: Small; Tamara F.; Gillespie, Gordon Lee; Kean, Emily B.; Hutton, Scott
Abstract:
The threat of workplace violence (WPV) is a significant occupational hazard for home healthcare workers (HHCWs). The purpose of this integrative review is to examine WPV interventions used by HHCWs to stay safe while working in the patient's home and community. The methodology used was the integrative review by Whittemore and Knafl (2005), which allows for inclusion of experimental and non-experimental research, reflecting the state of the science on interventions used by HHCWs to mitigate and prevent WPV. A total of 17 articles pertained to interventions used by HHCWs. Interventions were further categorized by WPV Type. There are a number of interventions used for Type I and II WPV. However, interventions for Type III WPV are minimal and interventions for Type IV WPV are obsolete. Safety and health training were shown to be significant in increasing HHCWs' confidence and knowledge about WPV prevention. Researchers demonstrated safety and health training are effective in promoting a safe work environment and reducing incidents of WPV. This review begins to fill the gap in the literature on interventions used by HHCWs to mitigate and prevent WPV.
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Small; Tamara F.; Gillespie, Gordon Lee; Kean, Emily B.; Hutton, Scott
- Practical Needs in the Home Care of Latino Children With Medical
Complexity- Authors: Ware; Emily J.; Beveridge, Mark S.; Rosado, Aura I.; Nageswaran, Savithri
Abstract:
Latino children face barriers to high-quality healthcare. Because children with medical complexity (CMC) have higher healthcare needs, Latino CMC are likely to experience greater effects of these barriers. These vulnerabilities are exacerbated when Latino CMC endure adverse social conditions, such as food insecurity and housing instability. The study objective was to describe the challenges faced by caregivers of Latino CMC in meeting the practical needs of their children when caring for them at home. In this qualitative study, 70 Latino CMC enrolled in a complex care program of a tertiary care children's hospital were followed for a median duration of 45 months. We collected care coordination notes from encounter logs and interviewed bilingual care coordinators regarding their experiences with each child. Using thematic content analysis and an iterative process, we identified recurrent themes related to practical needs. Four themes emerged. Caregivers: 1) faced financial challenges due to many reasons that were exacerbated by children's medical conditions; 2) had challenges meeting basic needs of their families, including food and shelter; 3) experienced difficulties obtaining necessary medical supplies for their children; and 4) relied on care coordinators to navigate the system. We conclude that Latino caregivers of CMC experience many challenges meeting their families' basic needs and obtaining necessary medical supplies to care for their CMC at home. Care coordinators play a major role in addressing the practical needs of Latino CMC. Future studies should determine whether addressing the practical needs of Latino CMC would improve their health outcomes.
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Ware; Emily J.; Beveridge, Mark S.; Rosado, Aura I.; Nageswaran, Savithri
- Designing a Program to Serve Older Adult LGBTQ+ Populations in Home
Healthcare- Authors: Alvarado; Leslie A.; Dorsen, Caroline; Jere, Char; Woerner, Louise; Jones, Emily; Miner, Sarah M.
Abstract:
When compared with their heterosexual cisgender (nontransgender) counterparts, LGBTQ+ older adults are more likely to delay or not seek medical care, often due to fear of real or perceived discrimination from healthcare providers. HCR Home care is a home healthcare agency in Upstate New York that has been delivering high-quality in-home healthcare services for over 40 years. We recognized that we had a unique opportunity to address the vulnerabilities of older adults in the LGBTQ+ community and to better meet their health needs as they age in place. We developed a five-step process to implement a program to better serve the home healthcare needs of the LGBTQ+ population in our community. The goal of this initiative is to provide ongoing community education on home healthcare, awareness of the social and health issues surrounding LGBTQ+ older adults, and ultimately to improve care and decrease health disparities. This article describes the five-step process, the challenges, successes, and implications for the future. Ensuring there are healthcare solutions available for vulnerable and marginalized individuals is key to changing the way home healthcare is structured and improving quality of life and health outcomes for all.
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Alvarado; Leslie A.; Dorsen, Caroline; Jere, Char; Woerner, Louise; Jones, Emily; Miner, Sarah M.
- Ozone Therapy on Reduction of Bacterial Colonies and Acceleration of
Diabetic Foot Ulcer Healing- Authors: Kadir; Kasmawati; Syam, Yuliana; Yusuf, Saldy; Zainuddin, Masriani
Abstract:
Diabetic foot ulcers (DFUs) are highly vulnerable to infection and pose risk for limb amputations. Studies have shown that ozone therapy reduces wound size and improves wound healing time better than standard treatments. We examined the effectiveness of combining standard wound care with ozone therapy to reduce bacterial colonization and accelerate healing of DFUs in the home care setting. The control group (n = 12) received standard wound care with antimicrobial dressings every 3 days for 21 days, and the intervention group (n = 15) received the same as control group plus ozone bagging therapy at 70 μg/mL for 10 minutes every 3 days for 21 days. Combining standard wound care with ozone therapy significantly decreased the number of bacterial colonies (p = 0.001). However, no significant difference in DFU assessment score was found between the intervention and control groups (p> 0.05). Combining standard wound care with ozone therapy reduced the number of bacteria in the DFUs but exerted no significant effect on wound healing. Future studies should examine the administration of ozone therapy with different concentrations and times of exposure to explore the right dose for healing DFUs.
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Kadir; Kasmawati; Syam, Yuliana; Yusuf, Saldy; Zainuddin, Masriani
- Evaluating Home Healthcare Workers' Safety Hazard Detection Ability Using
Virtual Simulation:- Abstract: No abstract available
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Abstract: No abstract available
- Occupational Hazards in Home Care
- Authors: Small; Tamara F.
Abstract: No abstract available
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Small; Tamara F.
- Update on the 2019 AGS Beers Criteria®
- Authors: Hale; Deborah; Marshall, Katherine
Abstract: No abstract available
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Hale; Deborah; Marshall, Katherine
- Assessment of Peripheral Vascular Disease by Physical Therapists
- Authors: Sharrard; Jaclyn; Arena, Sara
Abstract:
No abstract available
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Sharrard; Jaclyn; Arena, Sara
- Clear Instructions and Patient Education Key for Xarelto
- Authors: Shastay; Ann
Abstract:
No abstract available
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Shastay; Ann
- A Day in the Life of a Philadelphia Home Care Nurse
- Authors: Cofer; DeLisa
Abstract: No abstract available
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Cofer; DeLisa
- Home Care and Use of Telehealth Amidst the COVID-19 Pandemic
- Authors: Osakwe; Zainab Toteh
Abstract: No abstract available
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Osakwe; Zainab Toteh
- The DAISY Award: All We Wanted to Do Was Say Thank You
- Authors: Barnes; Bonnie; Barnes, Mark
Abstract:
No abstract available
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Authors: Barnes; Bonnie; Barnes, Mark
- Sepsis: A Review for Home Healthcare Clinicians
- Abstract: No abstract available
PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
- Abstract: No abstract available
