scholarly journals Patient involvement in home health care: Elderly patients’ perspectives on roles and responsibilities in the collaboration with home care nurses

2016 ◽  
Vol 16 (6) ◽  
pp. 239
Author(s):  
Gerd Halskov ◽  
Sigurd Lauridsen ◽  
Kathrine Hoffmann Pii
Keyword(s):  
Health Care ◽  
Elderly Patients ◽  
Home Care ◽  
Home Health Care ◽  
Patient Involvement ◽  
Home Health ◽  
Roles And Responsibilities ◽  
Home Care Nurses

Working Conditions in Home Health Care Nursing: A Survey of Home Care Nurses in Hospitals in Korea

2005 ◽  
Vol 35 (7) ◽  
pp. 1229 ◽  
Author(s):  
Hosihn Ryu ◽  
Heasook Jo ◽  
Yoonok Kim ◽  
Youngmi Yoon ◽  
Jongrae Song ◽  
...  
Keyword(s):  
Health Care ◽  
Home Care ◽  
Working Conditions ◽  
Home Health Care ◽  
Home Health ◽  
Care Nursing ◽  
Home Care Nurses

Ethical Aspects of Pediatric Home Care

PEDIATRICS ◽  
1992 ◽  
Vol 89 (5) ◽  
pp. 920-924
Author(s):  
John D. Lantos ◽  
Arthur F. Kohrman
Keyword(s):  
Health Care ◽  
Home Care ◽  
Home Health Care ◽  
Ethical Issues ◽  
Home Health ◽  
Critically Ill Children ◽  
Traditional Health ◽  
Advanced Medical Technology ◽  
Economic Forces ◽  
Traditional Health Care

This essay is a discussion of ethical issues that arise in the provision of home health care to technology-dependent children. Different ethical norms, especially with regard to the degree of professional responsibility for outcomes, traditionally have applied to home care and hospital care. In particular, parents generally are expected to do their best, but are not expected to have the same specialized knowledge of risks and benefits with regard to particular interventions as health professionals. When home health care involves the use of advanced medical technology, it strains traditional conceptions of parental responsibilities to care for the health of their children at home. It can also strain traditional concepts of professional responsibilities to care for critically ill children in hospitals. We discuss some of the tensions that arise as medical, psychological, and economic forces lead to the increasing use of high technology in the care of children outside of traditional health care institutions.

scholarly journals Practices used by a home care team: implications for caregivers

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Yara Cardoso Silva ◽  
Kênia Lara Silva ◽  
Isabela Silva Câncio Velloso
Keyword(s):  
Health Care ◽  
Discourse Analysis ◽  
Qualitative Study ◽  
Home Care ◽  
Home Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Home Health ◽  
Care Team ◽  
Power Relationship

ABSTRACT Objectives: to analyze the practices of a home care team and their implications for caregivers’ performance. Methods: qualitative study with data obtained from observation of 21 users, 30 caregivers and 6 professionals from the home health care service in a municipality in Minas Gerais, from February to June 2018. The material was analyzed from the perspective of discourse analysis according to Michel Foucault. Results: team interference upon caregivers is exercised by disciplinary practices and prescriptive, authoritative and surveilling behaviors. The team’s knowledge-power relationship determines caregivers’ acceptance through convincing or through difficulty of understanding assigned orientations. Educational practices would enable caregivers to be constituted as active, participative, empowered and reflective subjects. Final Considerations: team practices interfere with caregivers’ ways of acting and being and they have implications in objectification and subjectification processes.

Home care reimbursement for intravenous ganciclovir therapy

1996 ◽  
Vol 53 (2) ◽  
pp. 161-163 ◽  
Author(s):  
Essy Mozaffari ◽  
Sean D. Sullivan
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Home Care ◽  
Home Health Care ◽  
Home Health ◽  
Fee For Service ◽  
Geographic Variations ◽  
Intravenous Ganciclovir ◽  
Ganciclovir Therapy ◽  
Nursing Services

Variability in reimbursement for home i.v. ganciclovir therapy among three types of payers was investigated. A survey was developed to estimate reimbursement for drug and medical supplies and nursing services associated with preparing i.v. ganciclovir and administering it to persons with cytomegalovirus (CMV)-associated retinitis in the home care setting. The questionnaire was mailed to 45 home health care agencies and 11 nursing agencies. Of the 56 surveys mailed, 26 (46%) were returned and considered usable. Of the 26 respondents, 22 were home health care companies, 4 were nursing ageiicies, 22 served patients covered by managed care or state assistance that reimbursed on a per diem trasis, and 9 did not provide care to fee-for-service patients. The mean total daily-reimbursement rate (for ganciclovir, supplies, and nursing services) from managed care per diem plans was $137.69 per patient, compared with $I29.18 from fee-for-service plans and $72.68 from state assistance per diem plans. The dissimilarity may have been due to geographic variations in reimbursement and different mechanisms of reimbursement. Providers of home i.v. ganciclovir therapy for persons with CMV retinitis received the highest tnean total daily reimbursement from managed care per diem plans, followed by fee-for-service plans and state assistance per diem plans.

Predictors of Formal Home Health Care Use in Elderly Patients after Hospitalization

1993 ◽  
Vol 41 (9) ◽  
pp. 961-966 ◽  
Author(s):  
Daniel H. Solomon ◽  
D. Raye Wagner ◽  
Marjorie E. Marenberg ◽  
Denise Acampora ◽  
Leo M. Cooney ◽  
...  
Keyword(s):  
Health Care ◽  
Elderly Patients ◽  
Home Health Care ◽  
Home Health ◽  
Health Care Use

Depression Screening and Interventions for Older Home Health Care Patients

2011 ◽  
Vol 23 (6) ◽  
pp. 435-445 ◽  
Author(s):  
Colleen Delaney ◽  
Richard Fortinsky ◽  
Lorraine Doonan ◽  
Rita L. W. Grimes ◽  
Pearson Terra-Lee ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Home Care ◽  
Home Health Care ◽  
Education Program ◽  
Self Efficacy ◽  
Home Health ◽  
Depression Screening ◽  
Program Outcomes ◽  
The Impact

The increasing prevalence of depression in elderly home health care patients led to a statewide initiative in Connecticut to enhance evidence-based depression treatment for older adults. A training curriculum on depression screening and interventions was developed and disseminated to 25 home care professionals representing 14 agencies in Connecticut using a train-the-trainer model. Home care trainers included nurses and social workers. This article describes Phase I curriculum design and initial evaluation of the impact of the training on the preparation of trainers to provide depression care education at their home care agencies. Several evaluation measures, including an appraisal of the self-reported attitudes and self-efficacy of home care professionals towards depressed older adults, a pre/post-test to assess the trainers’ knowledge, and willingness of trainers to implement the education program at their agencies were used to assess program outcomes. Participants’ self-efficacy levels in screening and caring for depressed older adults was significantly increased following the education program compared to immediately before the education program (t, (24) = -4.204; p < .001).

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